PARKSIDE MEDICAL CENTER
NPI 1306969787
Clinic/Center - Primary Care in Jersey City, NJ

Q: What is Khaleidoscope Health Care Inc.'s NPI number?

The NPI number for Khaleidoscope Health Care Inc. is 1306969787. It was assigned to this organization in the NPPES registry on April 9, 2007. The provider is doing business as Parkside Medical Center.

Q: What is Khaleidoscope Health Care Inc.'s specialty?

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

Active since April 09, 2007

127 LAFAYETTE ST, JERSEY CITY, NJ 07304(201) 451-5425(201) 451-7499 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 6, 2023, Aug 22, 2020 (2 updates tracked since 2020).

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About Parkside Medical Center NPPES

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

PARKSIDE MEDICAL CENTER (NPI 1306969787) is a healthcare organization registered as a primary care in Jersey City, New Jersey and active in the NPI registry since April 2007. The organization lists Larry M Blake, Ceo, as its authorized official.

NPPES Registry Identity

NPI1306969787

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameKHALEIDOSCOPE HEALTH CARE INC.

Location Address127 LAFAYETTE STJersey City, NJ 07304-3615

Mailing AddressP.o Box 4070 75 Harrison AveJersey City, NJ 07304-0070 · (201) 451-5425 · Fax (201) 451-7499

Phone(201) 451-5425

Fax(201) 451-7499

Organization SubpartNo

Authorized OfficialLarry M BlakeCeo · (201) 386-9264

Enumeration DateApril 9, 2007

Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration

NPPES CertifiedNovember 27, 2023

✔ NPI 1306969787 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 · 80305

127 LAFAYETTE ST, Jersey City, NJ 07304

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Other Names 1

Doing Business AsParkside Medical Center

Other Identifiers 2

Medicaid7864108NJ

Medicaid6103201NJ

Other Providers at the Same Location NPPES

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

KHALEIDOSCOPE HEALTH CARE INC

Non-emergency Medical Transport (VAN)

127 LAFAYETTE ST
JERSEY CITY, NJ 07304

Hudson County (201) 451-5425

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 Khaleidoscope Health Care Inc.'s NPI number?

The NPI number for Khaleidoscope Health Care Inc. is 1306969787. It was assigned to this organization in the NPPES registry on April 9, 2007. The provider is doing business as Parkside Medical Center.

Where is Khaleidoscope Health Care Inc. located?

Khaleidoscope Health Care Inc. is located at 127 Lafayette St, Jersey City, NJ 07304. The listed phone number is (201) 451-5425.

What is Khaleidoscope Health Care Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Khaleidoscope Health Care Inc. was last updated on November 27, 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.