Passaic River Physicians, LLC
NPI 1962162644ActiveOrganization· Emergency Medicine· Paterson, NJ
Emergency Medicine in Paterson, New Jersey, registered in NPPES in December 2021. The authorized official on file is Kim Larsen, Director Of Credentialing. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1962162644 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 22, 2021 |
| Last updated in NPPES | Aug 13, 2026 |
| Certified by provider | Aug 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | — | — |
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 Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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