PASSAIC RIVER PHYSICIANS, LLC
NPI 1124788807
Emergency Medicine in Wayne, NJ
About Passaic River Physicians, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PASSAIC RIVER PHYSICIANS, LLC (NPI 1124788807) is a healthcare organization registered as an emergency medicine in Wayne, New Jersey and active in the NPI registry since December 2021. The organization lists Kim Larsen, Director Of Credentialing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Passaic River Physicians, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
138Medicare enrollment records show 138 clinicians reassign Medicare billing to Passaic River Physicians, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 67 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 138Paterson, NJ 07503
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Passaic River Physicians, LLC's NPI number?
The NPI number for Passaic River Physicians, LLC is 1124788807. It was assigned to this organization in the NPPES registry on December 22, 2021.
Where is Passaic River Physicians, LLC located?
Passaic River Physicians, LLC is located at 224 Hamburg Tpke, Wayne, NJ 07470. The listed phone number is (973) 942-6900.
What is Passaic River Physicians, LLC's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Passaic River Physicians, LLC enrolled in Medicare?
Yes. Passaic River Physicians, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Passaic River Physicians, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 138 clinicians in 6 Medicare specialties reassign their Medicare billing to Passaic River Physicians, LLC. 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. The largest specialties are Emergency Medicine (99), Nurse Practitioner (22) and Pediatric Medicine (12). Of these, 1 practice at this address and 67 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Passaic River Physicians, LLC was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Passaic River Physicians, Llc · NPI 1124788807
Emergency Medicine organization in Wayne, New Jersey. Organization record, active in the CMS NPPES registry since December 22, 2021.
## Identity
- **NPI:** 1124788807 (Entity type: Organization)
- **Enumerated:** December 22, 2021
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **Organization subpart:** No
- **Authorized official:** Kim Larsen, DIRECTOR OF CREDENTIALING
## Practice location
- **Address:** 224 HAMBURG TPKE, Wayne, NJ 07470-2168
- **Phone:** (973) 942-6900
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 138 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (99), Nurse Practitioner (22), Pediatric Medicine (12); 1 practice at this address and 67 within 10 miles; [full list](https://npiprofile.com/npi/1124788807/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1124788807) · Data from the CMS NPPES public registry.