Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cliffside Medical LLC

Organization Dermatology Physician · NPI 1104908813

Cliffside Medical LLC is a Dermatology Physician in Cliffside Park, New Jersey. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
7
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

663 Palisade Ave
Cliffside Park, NJ 07010-3012
Phone: (201) 945-6500
Fax: (201) 945-1157
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
Emergency Medicine Physician Taxonomy 207P00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Diagnostic Radiology Physician Taxonomy 2085R0202X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1104908813
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benjamin Chouake — President · (201) 945-6500
NPI enumeratedOctober 20, 2006
Last updated in NPPESOctober 11, 2023
Certification dateOctober 11, 2023
Mailing address663 Palisade Ave Ste 101, Cliffside Park, NJ 07010-3098

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