PHYSICIAN SPECIALISTS OF NORTHERN JERSEY LLC - NPI 1952842460

Q: What is Physician Specialists Of Northern Jersey LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

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About Physician Specialists Of Northern Jersey Llc NPPES

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

PHYSICIAN SPECIALISTS OF NORTHERN JERSEY LLC (NPI 1952842460) is a healthcare organization registered as a multi-specialty in Paramus, New Jersey and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through April 25, 2027 and lists Michael L Gross, Owner/partner, as its authorized official.

NPPES Registry Identity

NPI1952842460

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NamePHYSICIAN SPECIALISTS OF NORTHERN JERSEY LLC

Location Address1 SEARS DR STE 306Paramus, NJ 07652-3510

Mailing Address1 Sears Dr, Suite 306Paramus, NJ 07652-3515 · (201) 830-2287

Phone(201) 830-2287

Fax(201) 830-2286

Organization SubpartNo

Authorized OfficialMichael L GrossOwner/partner · (201) 830-2287

Enumeration DateMarch 16, 2017

Last NPPES UpdateOctober 16, 20233 updates tracked since enumeration

NPPES CertifiedOctober 16, 2023

✔ NPI 1952842460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X

Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X

1 SEARS DR STE 306, Paramus, NJ 07652

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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 MULTIPLE 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 31D2165439

Physician Specialists Of Northern Jersey · Paramus, NJ

Active · expires Apr 25, 2027

CLIA Number31D2165439

Laboratory TypePhysician Office

Certificate Effective DateApril 26, 2025

Certificate Expiration DateApril 25, 2027

Laboratory DirectorJason Shatkin

Laboratory Phone(201) 830-2287

Laboratory LocationPhysician Specialists Of Northern Jersey1 Sears Drive, Suite 306, Paramus, NJ 07652

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DR. MICHAEL L GROSS MD

Internal Medicine (Rheumatology)