PHYSICIAN SPECIALISTS OF NORTHERN JERSEY LLC
NPI 1952842460
Clinic/Center - Multi-Specialty in Paramus, NJ

Active since March 16, 2017CLIA 31D2165439 · Waiver
1 SEARS DR STE 306, PARAMUS, NJ 07652(201) 830-2287(201) 830-2286 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 16, 2023, Feb 5, 2020, Mar 16, 2017 (3 updates tracked since 2017).

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
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

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Physician Specialists Of Northern Jersey Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Physician Specialists Of Northern Jersey LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Rheumatology
NPI 1386701654
1 SEARS DR STE 306
Paramus, NJ 07652
(201) 830-2287
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1154767903
1 SEARS DR STE 306
Paramus, NJ 07652
(201) 830-2287
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1669529202
1 SEARS DR STE 306
Paramus, NJ 07652
(201) 830-2287
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1659098051
1 SEARS DR STE 306
Paramus, NJ 07652
(201) 830-2287
✔ PECOS✔ Accepts Medicare1.3 mi
Nurse Practitioner
NPI 1336407188
90 W RIDGEWOOD AVE
Paramus, NJ 07652
(201) 652-1950
✔ PECOS✔ Accepts Medicare1.5 mi
Nurse Practitioner
NPI 1508535550
90 W RIDGEWOOD AVE
Paramus, NJ 07652
(201) 652-1950
✔ PECOS✔ Accepts Medicare1.5 mi
Nurse Practitioner
NPI 1063066827
223 N VAN DIEN AVE
Ridgewood, NJ 07450
(201) 447-8000
✔ PECOS✔ Accepts Medicare2.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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 Physician Specialists Of Northern Jersey LLC's NPI number?

The NPI number for Physician Specialists Of Northern Jersey LLC is 1952842460. It was assigned to this organization in the NPPES registry on March 16, 2017.

Where is Physician Specialists Of Northern Jersey LLC located?

Physician Specialists Of Northern Jersey LLC is located at 1 Sears Dr Ste 306, Paramus, NJ 07652. The listed phone number is (201) 830-2287.

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.

Is Physician Specialists Of Northern Jersey LLC enrolled in Medicare?

Yes. Physician Specialists Of Northern Jersey LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Physician Specialists Of Northern Jersey LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Physician Specialists Of Northern Jersey 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. The largest specialties are Nurse Practitioner (5), Pulmonary Disease (1) and Rheumatology (1). Of these, 3 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Physician Specialists Of Northern Jersey LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2165439) is associated with this NPI, valid through April 25, 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 Physician Specialists Of Northern Jersey LLC was last updated on October 16, 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.