Passaic River Observation, LLC
NPI 1568113348 · Emergency Medicine Physician · Paterson, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Passaic River Observation, LLC is a Emergency Medicine Physician organization in Paterson, NJ (NPI 1568113348).
Provider details
- NPI number
- 1568113348
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kim Larsen, Director of Credentialing(770) 874-5400
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-01-13
- Last updated
- 2022-01-13
- Certified
- 2022-01-13
Frequently asked questions
- What is Passaic River Observation, LLC's NPI number?
- Passaic River Observation, LLC's National Provider Identifier (NPI) is 1568113348, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Passaic River Observation, LLC?
- Passaic River Observation, LLC is classified in the NPPES registry as Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Passaic River Observation, LLC located?
- Passaic River Observation, LLC's practice location on file with NPPES is 703 Main St, Paterson, NJ 07503-2621.
- What is Passaic River Observation, LLC's phone number?
- The practice phone number listed in the NPPES registry for Passaic River Observation, LLC is (973) 754-2000.
- Does Passaic River Observation, LLC accept Medicare?
- Passaic River Observation, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Passaic River Observation, LLC?
- The authorized official listed on Passaic River Observation, LLC's NPPES record is Kim Larsen, Director of Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Passaic River Observation, LLC's NPI active?
- Yes — Passaic River Observation, LLC's NPI (1568113348) is active in the NPPES registry as of the last update on 2022-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.