RIVERSIDE HEALTH CARE LLC
NPI 1295286375
Clinic/Center - Primary Care in Palisades Park, NJ

Active since October 24, 2016
115 BROAD AVE, PALISADES PARK, NJ 07650(201) 592-5959(201) 592-5955 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 7, 2023, Oct 3, 2022, Apr 29, 2021 and 2 more (5 updates tracked since 2016).

About Riverside Health Care Llc NPPES

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

RIVERSIDE HEALTH CARE LLC (NPI 1295286375) is a healthcare organization registered as a primary care in Palisades Park, New Jersey and active in the NPI registry since October 2016. The organization lists Hangjun Jang, President, as its authorized official.

NPPES Registry Identity

NPI1295286375
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameRIVERSIDE HEALTH CARE LLC
Location Address115 BROAD AVEPalisades Park, NJ 07650-1441
Mailing Address115 Broad AvePalisades Park, NJ 07650-1441 · (201) 592-5959 · Fax (877) 801-7479
Fax(201) 592-5955
Organization SubpartNo
Authorized OfficialHangjun JangPresident · (201) 592-5959
Enumeration DateOctober 24, 2016
Last NPPES UpdateNovember 7, 20235 updates tracked since enumeration
NPPES CertifiedNovember 7, 2023
✔ NPI 1295286375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NJ · 25MA09772600
115 BROAD AVE, Palisades Park, NJ 07650

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Riverside Health Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Riverside Health Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1568607919
15009 NORTHERN BLVD
Flushing, NY 11354
(718) 886-7575
✔ PECOS11 mi

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 Riverside Health Care LLC's NPI number?

The NPI number for Riverside Health Care LLC is 1295286375. It was assigned to this organization in the NPPES registry on October 24, 2016.

Where is Riverside Health Care LLC located?

Riverside Health Care LLC is located at 115 Broad Ave, Palisades Park, NJ 07650. The listed phone number is (201) 592-5959.

What is Riverside Health Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Riverside Health Care LLC enrolled in Medicare?

Yes. Riverside Health Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Riverside Health Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Riverside Health Care 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Riverside Health Care LLC was last updated on November 7, 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.