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

Khaleidoscope Health Care Inc

Organization Primary Care Clinic/Center · NPI 1306969787

Khaleidoscope Health Care Inc is a Primary Care Clinic/Center in Jersey City, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

127 Lafayette St
Jersey City, NJ 07304-3615
Phone: (201) 451-5425
Fax: (201) 451-7499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 80305 (NJ)

Record details

NPI number1306969787
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry Blake — Ceo · (201) 386-9264
Other names Parkside Medical Center; Parkside Medical Center
NPI enumeratedApril 9, 2007
Last updated in NPPESNovember 27, 2023
Certification dateNovember 27, 2023
Mailing addressP.O Box 4070 75 Harrison Ave, Jersey City, NJ 07304-0070

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