Organization · Type 2 NPI

Premise Health of New Jersey Medical PC

Multi-Specialty Clinic/Center · Mahwah, NJ

NPI number 1710550165 Active

Practice location

440 Franklin Tpke
Mahwah, NJ 07430-3525

Mailing address

5500 Maryland Way
Brentwood, TN 37027-7048

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1710550165

Premise Health of New Jersey Medical PC's National Provider Identifier is 1710550165, issued on Jul 22, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Mahwah, NJ. The record was last updated on Feb 17, 2026.