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PREMIER MEDICAL ALLIANCE LLC NPI 1093142895


NPI Information

NPI: 1093142895
Provider Name: PREMIER MEDICAL ALLIANCE LLC
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 31D0696201

Address:
466 OLD HOOK ROAD
SUITE 1
EMERSON, NJ
ZIP 07630
Phone: (201) 967-8221
Get Directions

PREMIER MEDICAL ALLIANCE LLC is a gastroenterology internal medicine in Emerson, NJ. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. PREMIER MEDICAL ALLIANCE LLC NPI is 1093142895. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

466 OLD HOOK ROAD
SUITE 1
EMERSON, NJ
ZIP 07630-368
Phone: (201) 967-8221
Fax: (201) 634-9647

The provider's authorized official is Eric Avezzano .
The authorized official title is President and has the following contact phone number (201) 967-8221.

The CLIA number assigned to this NPI record is 31D0696201 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/11/2013 and was last updated on 10/11/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207K00000XAllergy & Immunology25MA0806440NEW JERSEYNo
2207RG0100XInternal MedicineGastroenterology25MA05477400NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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