Five Star Premier Medical Care LLC
Family Medicine in Paterson, New Jersey
1821370149- Practice location
- 470 Chamberlain Ave, Suite#7, Paterson, NJ 07522-1031
- Phone
- 973-595-7400
- Fax
- 973-345-4156
- Last updated
- September 13, 2011
Five Star Premier Medical Care LLC is a healthcare organization based in Paterson, NJ. Five Star Premier Medical Care LLC practices in Paterson, NJ. The NPI Number for Five Star Premier Medical Care LLC is 1821370149 and holds a License No. 25MA07147400 (NJ). The current practice location address for Five Star Premier Medical Care LLC is 470 Chamberlain Ave, Suite#7, Paterson, NJ 07522-1031 and can be reached out via phone at 973-595-7400 and via fax at 973-345-4156.
Provider Profile Details
- NPI Number
- 1821370149
- Provider Name
- Five Star Premier Medical Care LLC
- Provider Entity Type
- Organization
- Address
- 470 Chamberlain Ave, Suite#7, Paterson, NJ 07522-1031
- Phone Number
- 973-595-7400
- Fax Number
- 973-345-4156
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Organization Subpart
- No
- Authorized Official
- Ernesto Berdu · Credentialing · 201-758-1101
- Provider Enumeration Date
- September 13, 2011
- Last Update Date
- September 13, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 470 Chamberlain Ave
Suite#7
Paterson, NJ 07522-1031 - City
- Paterson
- State
- New Jersey
- Zip
- 07522-1031
- Phone Number
- 973-595-7400
- Fax Number
- 973-345-4156
Provider Business Mailing Address Details
- Address
- Po Box 3247
Wayne, NJ 07474-3247 - City
- Wayne
- State
- NJ
- Zip
- 07474-3247
License Information
- License Number (1)
- 25MA07147400
- License State (1)
- NJ
- Taxonomy (1)
- Emergency Medicine · 207P00000X
- License Number (2)
- 25MA07147400
- License State (2)
- NJ
- Taxonomy (2)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Five Star Premier Medical Care LLC?
The NPI number of Five Star Premier Medical Care LLC is 1821370149. It was assigned on September 13, 2011 and is currently active in the NPPES registry.
What is the specialty of Five Star Premier Medical Care LLC?
Five Star Premier Medical Care LLC is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MA07147400.
Where does Five Star Premier Medical Care LLC practice?
The practice location is 470 Chamberlain Ave, Suite#7, Paterson, NJ 07522-1031. The office can be reached at 973-595-7400 (phone) or 973-345-4156 (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 1821370149 directly on the NPPES registry website.