Cliffside Medical LLC
NPI 1104908813ActiveOrganization· Dermatology· Cliffside Park, NJ
Dermatology in Cliffside Park, New Jersey, registered in NPPES in October 2006. The authorized official on file is Benjamin S. Chouake, M.D., President. Enrolled in Medicare as dme supplier - multi-specialty - physician and part b supplier - clinic/group practice.
Overview
| NPI | 1104908813 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 20, 2006 |
| Last updated in NPPES | Oct 11, 2023 |
| Certified by provider | Oct 11, 2023 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Multi-Specialty - Physician (NJ); Part B Supplier - Clinic/Group Practice (NJ) |
|---|
Other Dermatology providers in Cliffside Park
- 1043157969
- 1891135943
- 1538278312