Organization · Type 2 NPI

Premise Health of New Jersey Medical, P.c

Clinic/Center · Jersey City, NJ

NPI number 1740646215 Active

Practice location

95 Christopher Columbus Dr
Jersey City, NJ 07302-2978

Call (201) 413-2300 Map

Mailing address

5500 Maryland Way, Ste 400
Brentwood, TN 37027-4948

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Another provider at this address

Premise Health of New Jersey Medical PCClinic/Center Jersey City, NJ NPI 1861877672

Other clinic/center providers in Jersey City

See all in Jersey City →

NPI record

NPI: 1740646215
Entity type: Organization (Type 2)
Issued: Jan 13, 2016
Last updated: Aug 23, 2022
Status: Active

Other names

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Pershing Plaza Live Well Health Center · doing business as
Pershing Plaza Live Well Health Center · doing business as

Authorized official

Jon Leizman
President
(216) 479-9063

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1740646215

Premise Health of New Jersey Medical, P.c's National Provider Identifier is 1740646215, issued on Jan 13, 2016. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Jersey City, NJ. The record was last updated on Aug 23, 2022.