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EVERSIDE HEALTH, LLC
NPI 1275191629
Family Medicine in Jersey City, NJ

Active since May 31, 2019CLIA 31D2167205 · Waiver
100 TOWN SQUARE PL STE 630, JERSEY CITY, NJ 07310(973) 685-5809 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 28, 2022, Sep 13, 2021, Oct 4, 2019 and 1 more (4 updates tracked since 2019).

About Everside Health, Llc NPPES

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

EVERSIDE HEALTH, LLC (NPI 1275191629) is a healthcare organization registered as a family medicine in Jersey City, New Jersey and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through June 3, 2027 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1275191629
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEVERSIDE HEALTH, LLC
Location Address100 TOWN SQUARE PL STE 630Jersey City, NJ 07310-2778
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916
Phone(973) 685-5809
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateMay 31, 2019
Last NPPES UpdateJune 27, 20234 updates tracked since enumeration
NPPES CertifiedJune 27, 2023
✔ NPI 1275191629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
100 TOWN SQUARE PL STE 630, Jersey City, NJ 07310
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Waiver 31D2167205

Everside Health LLC, Jersey City · Jersey City, NJ
Active · expires Jun 3, 2027
CLIA Number31D2167205
Laboratory TypePhysician Office
Certificate Effective DateJune 4, 2025
Certificate Expiration DateJune 3, 2027
Laboratory DirectorAmeena Jiwani
Laboratory Phone(973) 650-0308
Laboratory LocationEverside Health LLC, Jersey City100 Town Square Place Suite 630, Jersey City, NJ 07310
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

EVERSIDE HEALTH, LLC
Family Medicine
100 TOWN SQUARE PL STE 630, STE 630
JERSEY CITY, NJ 07310
Hudson County (973) 685-5809
MELISSA N PAGAN DNP
Nurse Practitioner
100 TOWN SQUARE PL STE 630
JERSEY CITY, NJ 07310
Hudson County (973) 685-5809

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 Everside Health, LLC's NPI number?

The NPI number for Everside Health, LLC is 1275191629. It was assigned to this organization in the NPPES registry on May 31, 2019.

Where is Everside Health, LLC located?

Everside Health, LLC is located at 100 Town Square Pl Ste 630, Jersey City, NJ 07310. The listed phone number is (973) 685-5809.

What is Everside Health, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Everside Health, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2167205) is associated with this NPI, valid through June 3, 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 Everside Health, LLC was last updated on June 27, 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.