814 UNDERCLIFF MEDICAL PC
NPI 1598495442
Pain Medicine - Pain Medicine in Edgewater, NJ
About 814 Undercliff Medical Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
814 UNDERCLIFF MEDICAL PC (NPI 1598495442) is a healthcare organization registered as a pain medicine in Edgewater, New Jersey and active in the NPI registry since June 2022. The organization lists Ilana Etelzon, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
814 Undercliff Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to 814 Undercliff Medical PC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (4)
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 814 Undercliff Medical PC's NPI number?
The NPI number for 814 Undercliff Medical PC is 1598495442. It was assigned to this organization in the NPPES registry on June 14, 2022.
Where is 814 Undercliff Medical PC located?
814 Undercliff Medical PC is located at 814 Undercliff Ave, Edgewater, NJ 07020. The listed phone number is (973) 954-4055.
What is 814 Undercliff Medical PC's specialty?
The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.
Is 814 Undercliff Medical PC enrolled in Medicare?
Yes. 814 Undercliff Medical PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through 814 Undercliff Medical PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to 814 Undercliff Medical PC. 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 Nurse Practitioner (3) and Physical Medicine and Rehabilitation (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for 814 Undercliff Medical PC was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.