DISPATCHHEALTH MEDICAL PC
NPI 1124630975
Emergency Medicine in Upper Saddle River, NJ
- Organization
- Emergency Medicine
- CLIA Number: 31D2164510
- CLIA Cert. Type: Other - POL TEMP TSTG SITES
- CLIA Exp. Date: 10-19-2027
About DISPATCHHEALTH MEDICAL PC
This page provides the complete NPI Profile along with additional information for Dispatchhealth Medical Pc, a provider established in Upper Saddle River, New Jersey operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1124630975 assigned on August 2020. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Dispatchhealth Medical Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is William Kramer (Chief Legal Officer)
- NPI
- 1124630975 Verify this NPI
- Provider Name
- DISPATCHHEALTH MEDICAL PC
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 2 PARK WAY # 1B UPPER SADDLE RIVER, NJ 07458
- Location Phone
- (201) 882-7526
- Mailing Address
- 3825 N LAFAYETTE ST DENVER, CO 80205
- Mailing Phone
- (303) 500-1518
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-21-2020
- Last Update Date
- 07-15-2025
- Code Navigator
Location Map
Secondary Locations
- 540 State Route 10 Ste 1
Randolph, NJ 07869
(303) 500-1518
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 31D2164510
- Facility Type
- Other - POL TEMP TSTG SITES
- Certificate Effective Date
- October 20, 2025
- Certificate Expiration Date
- October 19, 2027
- Laboratory Director
- DR. LINDA DECHERRIE
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Dispatchhealth Medical Pc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124630975, enumerated as an "organization" on August 21, 2020.
The provider is located at 2 PARK WAY # 1B UPPER SADDLE RIVER, NJ 07458 and the phone number is (201) 882-7526.
Emergency Medicine with taxonomy code 207P00000X.
