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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: August 16, 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 September 15, 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
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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 Sep 15, 2026
CLIA Number31D0677093
Laboratory TypePhysician Office
Certificate Effective DateSeptember 16, 2024
Certificate Expiration DateSeptember 15, 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMERGIMED LLC
Surgery
663 PALISADE AVE
CLIFFSIDE PARK, NJ 07010
Bergen County (201) 917-2246
HOWARD M BARUCH MD
Orthopaedic Surgery
663 PALISADE AVE, SUITE 302
CLIFFSIDE PARK, NJ 07010
Bergen County (201) 943-9100
HAND & TRAUMA INSTITUTE
Surgery (Surgery of the Hand)
663 PALISADE AVE, SUITE 302
CLIFFSIDE PARK, NJ 07010
Bergen County (201) 943-9100
EMERGIMED LLC
Legal Medicine
663 PALISADE AVE
CLIFFSIDE PARK, NJ 07010
Bergen County (201) 945-6500
EMERGIMED PC
Clinic/Center (Urgent Care)
663 PALISADE AVE
CLIFFSIDE PARK, NJ 07010
Bergen County (201) 945-6500
MICHELLE TASSINARI PA
Physician Assistant (Surgical)
663 PALISADE AVE, STE 302
CLIFFSIDE PARK, NJ 07010
Bergen County (201) 833-9500
DR. SUSAN FISHBEIN MD
Internal Medicine (Gastroenterology)
663 PALISADE AVE
CLIFFSIDE PARK, NJ 07010
Bergen County (201) 945-0491
SPINE & TRAUMA INSTITUTE
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
663 PALISADE AVE, SUITE 302
CLIFFSIDE PARK, NJ 07010
Bergen County (201) 943-9100

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.

Does Cliffside Medical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 31D0677093) is associated with this NPI, valid through September 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cliffside Medical LLC accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Cliffside Medical LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 2 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.