Cliffside Medical LLC
Cliffside Medical LLC is a healthcare organization registered as Dermatology Physician in Cliffside Park, NJ, holding Type 2 (organization) NPI 1104908813 since 2006. The authorized official on file is Benjamin Chouake, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104908813 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Cliffside Medical LLC |
| Practice address | 663 PALISADE AVE, Cliffside Park, NJ, 07010 |
| Phone | 2019456500 |
| Fax | 2019451157 |
| Enumeration date | 2006-10-20 |
| Last updated in NPPES | 2023-10-11 |
Authorized official
| Name | Benjamin Chouake |
|---|---|
| Title | President |
| Phone | 2019456500 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | Secondary | — | — |
| 207P00000X | Emergency Medicine Physician | Secondary | — | — |
| 207Q00000X | Family Medicine Physician | Secondary | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | Secondary | — | — |
| 2085R0202X | Diagnostic Radiology Physician | Secondary | — | — |
| 208D00000X | General Practice Physician | Secondary | — | — |
| 207N00000X | Dermatology Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0820903 | Medicaid | NJ | — |
Copy-ready billing details
Provider: Cliffside Medical LLC NPI: 1104908813 Taxonomy: 207N00000X (Dermatology Physician) Address: 663 PALISADE AVE, Cliffside Park, NJ, 07010
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1689680209 | Iris Drey | Individual | Orthopaedic Surgery Physician | Cliffside Park, NJ |
| 1023025236 | Howard Baruch | Individual | Orthopaedic Surgery Physician | Cliffside Park, NJ |
| 1467460089 | Louis Quartararo | Individual | Orthopaedic Surgery Physician | Cliffside Park, NJ |
| 1386758423 | Premier Orthopaedics &Sports Medicine,PC | Organization | Orthopaedic Surgery Physician | Cliffside Park, NJ |
| 1205945086 | Susan Fishbein | Individual | Gastroenterology Physician | Cliffside Park, NJ |
| 1518038140 | Urology Center P A | Organization | Specialist | Cliffside Park, NJ |
| 1518096692 | Richard Levine | Individual | Ophthalmology Physician | Cliffside Park, NJ |
| 1245361963 | Spine & Trauma Institute | Organization | Orthopaedic Surgery of the Spine Physician | Cliffside Park, NJ |
Verify this record
Cross-check NPI 1104908813 against the authoritative CMS record: view Cliffside Medical LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Cliffside Medical LLC?
What is the NPI number for Cliffside Medical LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-10-11.