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CLIFFSIDE MEDICAL LLC
NPI 1104908813
Dermatology in Cliffside Park, NJ

Active since October 20, 2006CLIA 31D0677093 · Certificate of Compliance
663 PALISADE AVE, CLIFFSIDE PARK, NJ 07010(201) 945-6500(201) 945-1157 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 11, 2023, Mar 25, 2023 (2 updates tracked since 2023).

About Cliffside Medical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLIFFSIDE MEDICAL LLC (NPI 1104908813) is a healthcare organization registered as a dermatology in Cliffside Park, New Jersey and active in the NPI registry since October 2006. The organization holds a CLIA Certificate of Compliance certificate valid through November 30, 2026 and lists Benjamin S Chouake, President, as its authorized official.

NPPES Registry Identity

NPI1104908813
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCLIFFSIDE MEDICAL LLC
Location Address663 PALISADE AVECliffside Park, NJ 07010-3012
Mailing Address663 Palisade Ave Ste 101Cliffside Park, NJ 07010-3098 · (201) 945-6500 · Fax (201) 945-1157
Phone(201) 945-6500
Fax(201) 945-1157
Organization SubpartNo
Authorized OfficialBenjamin S ChouakePresident · (201) 945-6500
Enumeration DateOctober 20, 2006
Last NPPES UpdateOctober 11, 20232 updates tracked since enumeration
NPPES CertifiedOctober 11, 2023
✔ NPI 1104908813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
Also ListedGeneral PracticeTaxonomy 208D00000X
663 PALISADE AVE, Cliffside Park, NJ 07010
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Other Identifiers 1

Medicaid0820903NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cliffside Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Cliffside Medical LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Jason Chouake, M.D.
Dermatology
NPI 1891135943
663 PALISADE AVE STE 201
Cliffside Park, NJ 07010
(201) 298-3650
✔ PECOS✔ Accepts MedicareSame address
Susan Fishbein, MD
Gastroenterology
NPI 1205945086
663 PALISADE AVE
Cliffside Park, NJ 07010
(201) 945-0491
✔ PECOS✔ Accepts MedicareSame address
Gertrud Malmberg, M.D.
General Practice
NPI 1902020373
663 PALISADE AVE
Cliffside Park, NJ 07010
(201) 945-6500
✔ PECOS✔ Accepts MedicareSame address
Jennifer Schiebel, MSN, CMSRN
Nurse Practitioner
NPI 1689130254
663 PALISADE AVE
Cliffside Park, NJ 07010
(201) 917-2250
✔ PECOSSame address
Benjamin Chouake, MD
Internal Medicine
NPI 1891804654
663 PALISADE AVENUE SUITE 101
Cliffside Park, NJ 07010
(201) 917-2246
✔ PECOS✔ Accepts MedicareSame address
Steven Gillon, D.O.
Gastroenterology
NPI 1285668376
401 S VAN BRUNT ST
Englewood, NJ 07631
(201) 569-0555
✔ PECOS4.0 mi
Gerard Eichman, M.D.
Cardiovascular Disease (Cardiology)
NPI 1699774950
954 TEANECK RD
Teaneck, NJ 07666
(201) 833-2300
✔ PECOS✔ Accepts Medicare4.5 mi
Artin Aharonian, M.D.
Diagnostic Radiology
NPI 1992740187
3801 INTERNATIONAL DR SUTIE 103
Silver Spring, MD 20906
(301) 598-0123
✔ PECOS✔ Accepts Medicare203 mi
David Berns, MD
Diagnostic Radiology
NPI 1518924737
25700 SCIENCE PARK DR STE 180
Beachwood, OH 44122
(216) 514-1199
✔ PECOS✔ Accepts Medicare394 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 31D0677093

Cliffside Medical Emergimed Laboratory · Cliffside Park, NJ
Active · expires Nov 30, 2026
CLIA Number31D0677093
Laboratory TypePhysician Office
Certificate Effective DateSeptember 16, 2024
Certificate Expiration DateNovember 30, 2026
Laboratory DirectorDr. Benjamin S. Chouake
Laboratory Phone(201) 945-6500
Laboratory LocationCliffside Medical Emergimed Laboratory663 Palisade Ave Ste 101, Cliffside Park, NJ 07010
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cliffside Medical LLC's NPI number?

The NPI number for Cliffside Medical LLC is 1104908813. It was assigned to this organization in the NPPES registry on October 20, 2006.

Where is Cliffside Medical LLC located?

Cliffside Medical LLC is located at 663 Palisade Ave, Cliffside Park, NJ 07010. The listed phone number is (201) 945-6500.

What is Cliffside Medical LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Cliffside Medical LLC enrolled in Medicare?

Yes. Cliffside Medical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cliffside Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians reassign their Medicare billing to Cliffside Medical LLC, in Cardiovascular Disease (Cardiology), Dermatology, Diagnostic Radiology, Gastroenterology, General Practice and 2 other specialties. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cliffside Medical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 31D0677093) is associated with this NPI, valid through November 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cliffside Medical LLC was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.