Premier Medical Alliance LLC
Internal Medicine, Gastroenterology in Emerson, New Jersey
1093142895- Practice location
- 466 Old Hook Road, Suite 1, Emerson, NJ 07630-1368
- Phone
- 201-967-8221
- Fax
- 201-634-9647
- Last updated
- October 11, 2013
Premier Medical Alliance LLC is a healthcare organization based in Emerson, NJ. Premier Medical Alliance LLC practices in Emerson, NJ. The NPI Number for Premier Medical Alliance LLC is 1093142895 and holds a License No. 25MA0806440 (NJ). The current practice location address for Premier Medical Alliance LLC is 466 Old Hook Road, Suite 1, Emerson, NJ 07630-1368 and can be reached out via phone at 201-967-8221 and via fax at 201-634-9647.
Provider Profile Details
- NPI Number
- 1093142895
- Provider Name
- Premier Medical Alliance LLC
- Provider Entity Type
- Organization
- Address
- 466 Old Hook Road, Suite 1, Emerson, NJ 07630-1368
- Phone Number
- 201-967-8221
- Fax Number
- 201-634-9647
- Primary Taxonomy
- Internal Medicine, Gastroenterology · 207RG0100X
- Organization Subpart
- No
- Authorized Official
- Dr. Eric Avezzano, MD · President · 201-967-8221
- Provider Enumeration Date
- October 11, 2013
- Last Update Date
- October 11, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 466 Old Hook Road
Suite 1
Emerson, NJ 07630-1368 - City
- Emerson
- State
- New Jersey
- Zip
- 07630-1368
- Phone Number
- 201-967-8221
- Fax Number
- 201-634-9647
Provider Business Mailing Address Details
- Address
- 466 Old Hook Road
Suite 1
Emerson, NJ 07630-1368 - City
- Emerson
- State
- NJ
- Zip
- 07630-1368
- Phone Number
- 201-967-8221
- Fax Number
- 201-634-9647
License Information
- License Number (1)
- 25MA0806440
- License State (1)
- NJ
- Taxonomy (1)
- Allergy & Immunology · 207K00000X
- License Number (2)
- 25MA05477400
- License State (2)
- NJ
- Taxonomy (2)
- Internal Medicine, Gastroenterology · 207RG0100X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine, Gastroenterology providers near Emerson, NJ
View all Internal Medicine, Gastroenterology providers in Emerson →- Alyse R Bellomo, MDInternal Medicine, Gastroenterology · NPI 1700890837
- Bergen Gastroenterology PCInternal Medicine, Gastroenterology · NPI 1972531523
- Bhavik M Bhandari, MDInternal Medicine, Gastroenterology · NPI 1679763890
- Dr. Anthony R Delillo, MDInternal Medicine, Gastroenterology · NPI 1356372536
- Dr. Crystal N Broussard, MDInternal Medicine, Gastroenterology · NPI 1114955846
- Dr. David Goldstein, MDInternal Medicine, Gastroenterology · NPI 1063453348
Frequently Asked Questions
What is the NPI number of Premier Medical Alliance LLC?
The NPI number of Premier Medical Alliance LLC is 1093142895. It was assigned on October 11, 2013 and is currently active in the NPPES registry.
What is the specialty of Premier Medical Alliance LLC?
Premier Medical Alliance LLC is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in NJ under license number 25MA0806440.
Where does Premier Medical Alliance LLC practice?
The practice location is 466 Old Hook Road, Suite 1, Emerson, NJ 07630-1368. The office can be reached at 201-967-8221 (phone) or 201-634-9647 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093142895 directly on the NPPES registry website.