Parkside Medical Center is a Counselor (Addiction (Substance Use Disorder)) Clinic in Jersey City, New Jersey. It is located at 75 Harrison Avenue, Jersey City, NJ and its contact number is 201-451-5425. The authorized person for Parkside Medical Center is Mr. Larry M Blake
who is Ceo of the clinic and their contact number is 201-451-5425. Parkside Medical Center Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Parkside Medical Center Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Parkside Medical Center
Specialization:
Addiction (Substance Use Disorder), Counselor
Clinic Address:
75 Harrison Avenue, Jersey City, New Jersey, 07304-0070
Phone:
201-451-5425
Fax:
201-451-7499
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mr. Larry M Blake
Position:
Ceo
Contact Number:
201-451-5425
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Parkside Medical Center clinic are as mentioned below.
NPI Number:
1336350909
NPI Enumeration Date:
25 May, 2007
NPI Last Update On:
06 Oct, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Parkside Medical Center are as mentioned below.
Specialization
License Number
State
Status
General Practice
New Jersey
Primary
Addiction (Substance Use Disorder)
New Jersey
Secondary
Clinical
New Jersey
Secondary
Nutrition, Education
New Jersey
Secondary
Dietitian, Registered
New Jersey
Secondary
Psychiatry
New Jersey
Secondary
Multi-Specialty
New Jersey
Secondary
Methadone
22613
New Jersey
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
7734301
Medicaid
New Jersey
6103201
Medicaid
New Jersey
7864108
Medicaid
New Jersey
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Parkside Medical Center P.o. Box 4070, 75 Harrison Avenue Jersey City, New Jersey
Zip:
07304-0070
Phone Number:
201-451-5425
Fax Number:
201-451-7499
Patients can reach Parkside Medical Center at 75 Harrison Avenue, Jersey City, New Jersey or can call to book an appointment on 201-451-5425. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.