DISPATCHHEALTH MEDICAL PC
NPI 1124630975
Emergency Medicine in Upper Saddle River, NJ

Active since August 21, 2020CLIA 31D2164510 · Accreditation
2 PARK WAY # 1B, UPPER SADDLE RIVER, NJ 07458(201) 882-7526 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 22, 2023, Jun 2, 2023, May 10, 2023 and 3 more (6 updates tracked since 2020).

About Dispatchhealth Medical Pc NPPES

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

DISPATCHHEALTH MEDICAL PC (NPI 1124630975), doing business as Dispatchhealth Medical, is a healthcare organization registered as an emergency medicine in Upper Saddle River, New Jersey and active in the NPI registry since August 2020. The organization holds an CLIA Accreditation certificate valid through October 19, 2027, maintains a secondary practice location in Randolph, and lists William Kramer, Chief Legal Officer, as its authorized official.

NPPES Registry Identity

NPI1124630975
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameDISPATCHHEALTH MEDICAL PC
Location Address2 PARK WAY # 1BUpper Saddle River, NJ 07458-2345
Mailing Address3825 N Lafayette StDenver, CO 80205-3316 · (303) 500-1518
Organization SubpartYesParent: Dispatch Health Medical Pc
Authorized OfficialWilliam KramerChief Legal Officer · (215) 813-5940
Enumeration DateAugust 21, 2020
Last NPPES UpdateJuly 15, 20256 updates tracked since enumeration
NPPES CertifiedJuly 15, 2025
NPI 1124630975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
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.
2 PARK WAY # 1B, Upper Saddle River, NJ 07458

Other Names 2

Doing Business AsDispatchhealth Medical
Former Legal Business NameDispatchhealth Nj Wagner Pc

Secondary Practice Location 1

Location 1540 State Route 10 Ste 1Randolph, NJ 07869-2033 · Phone (303) 500-1518

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

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 Accreditation 31D2164510

Dispatch Health Medical, PC · Upper Saddle River, NJ
Active · expires Oct 19, 2027
CLIA Number31D2164510
Laboratory TypePol Temp Tstg Sites
Certificate Effective DateOctober 20, 2025
Certificate Expiration DateOctober 19, 2027
Laboratory DirectorDr. Linda Decherrie
Laboratory Phone(303) 500-1518
Laboratory LocationDispatch Health Medical, PC2 Park Way, Suite 1B, Upper Saddle River, NJ 07458
CLIA data matches this NPI record on: Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Dispatchhealth Medical PC's NPI number?

The NPI number for Dispatchhealth Medical PC is 1124630975. It was assigned to this organization in the NPPES registry on August 21, 2020. The provider is doing business as DispatchHealth Medical. The provider was formerly known as DispatchHealth NJ Wagner PC.

Where is Dispatchhealth Medical PC located?

Dispatchhealth Medical PC is located at 2 Park Way # 1B, Upper Saddle River, NJ 07458. The listed phone number is (201) 882-7526.

What is Dispatchhealth Medical PC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Does Dispatchhealth Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 31D2164510) is associated with this NPI, valid through October 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dispatchhealth Medical PC was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.