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

Passaic River Observation, LLC

Organization Emergency Medicine Physician · NPI 1568113348

Passaic River Observation, LLC is an Emergency Medicine Physician in Paterson, New Jersey. Registered with an NPI since 2022.

In the registry since
2022
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

703 Main St
Paterson, NJ 07503-2621
Phone: (973) 754-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1568113348
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Larsen — Director Of Credentialing · (770) 874-5400
NPI enumeratedJanuary 13, 2022
Last updated in NPPESJanuary 13, 2022
Certification dateJanuary 13, 2022
Mailing address5665 New Northside Dr Ste 320, Atlanta, GA 30328-5834

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