Active NPIOrganization

Premier Brain And Spine LLC

Durable Medical Equipment & Medical Supplies in Sewell, New Jersey

NPI Number1558101212
Practice location
102 Heritage Valley Dr Ste C, Sewell, NJ 08080-1764
Fax
856-740-5363
Last updated
February 7, 2025

Premier Brain And Spine LLC is a healthcare organization based in Sewell, NJ. Premier Brain And Spine LLC practices in Sewell, NJ. The NPI Number for Premier Brain And Spine LLC is 1558101212. The current practice location address for Premier Brain And Spine LLC is 102 Heritage Valley Dr Ste C, Sewell, NJ 08080-1764 and can be reached out via phone at 856-222-4444 and via fax at 856-740-5363.

Provider Profile Details

NPI Number
1558101212
Provider Name
Premier Brain And Spine LLC
Provider Entity Type
Organization
Address
102 Heritage Valley Dr Ste C, Sewell, NJ 08080-1764
Phone Number
856-222-4444
Fax Number
856-740-5363
Primary Taxonomy
Durable Medical Equipment & Medical Supplies · 332B00000X
Organization Subpart
No
Authorized Official
Dr. Eric D Freeman, DO · Part Owner; Managing Mbr · 732-906-9600
Other Names
Redefine Healthcare (Doing Business As)
Coastal Spine (Doing Business As)
Provider Enumeration Date
May 30, 2024
Last Update Date
February 7, 2025
Certification Date
February 7, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
102 Heritage Valley Dr Ste C
Sewell, NJ 08080-1764
City
Sewell
Zip
08080-1764
Phone Number
856-222-4444
Fax Number
856-740-5363
Sewell, NJ 08080Get directions →

Provider Business Mailing Address Details

Address
90 Matawan RD Ste 302
Matawan, NJ 07747-2653
City
Matawan
State
NJ
Zip
07747-2653
Phone Number
732-441-7177
Fax Number
732-441-7165

License Information

Taxonomy (1)
Chiropractor · 111N00000X
Taxonomy (2)
Neurological Surgery · 207T00000X
Taxonomy (3)
Orthopaedic Surgery · 207X00000X
Taxonomy (5)
Physical Medicine & Rehabilitation · 208100000X
Taxonomy (6)
· 208VP0000X
Taxonomy (8)
Physical Therapist · 225100000X
Taxonomy (9)
Durable Medical Equipment & Medical Supplies · 332B00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Premier Brain And Spine LLC?

The NPI number of Premier Brain And Spine LLC is 1558101212. It was assigned on May 30, 2024 and is currently active in the NPPES registry.

What is the specialty of Premier Brain And Spine LLC?

Premier Brain And Spine LLC is registered under the primary taxonomy Durable Medical Equipment & Medical Supplies (code 332B00000X).

Where does Premier Brain And Spine LLC practice?

The practice location is 102 Heritage Valley Dr Ste C, Sewell, NJ 08080-1764. The office can be reached at 856-222-4444 (phone) or 856-740-5363 (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 1558101212 directly on the NPPES registry website.

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