Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Khaleidoscope Health Care Inc

Organization Primary Care Clinic/Center · NPI 1306969787

Khaleidoscope Health Care Inc provides Primary Care Clinic/Center services 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
Show map & directions

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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