PREMISE HEALTH OF NEW JERSEY MEDICAL P.C NPI 1033624440

NPI Information

  • NPI: 1033624440
  • Provider Name: PREMISE HEALTH OF NEW JERSEY MEDICAL, P.C
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Doing Business As: NYL WELLNESS CENTER JERSEY CITY
  • CLIA Number: 31D1024648
  • Address: 30 HUDSON ST FL 30
    JERSEY CITY, NJ
    ZIP 07302
  • Phone: (201) 942-2200

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NPI Details

PREMISE HEALTH OF NEW JERSEY MEDICAL, P.C is a multi-specialty clinic center in Jersey City, NJ. PREMISE HEALTH OF NEW JERSEY MEDICAL, P.C NPI is 1033624440. The provider is registered as an organization entity type.
The provider Is Doing Business As Nyl Wellness Center Jersey City.

The provider's business location address is:

30 HUDSON ST FL 30
JERSEY CITY, NJ
ZIP 07302-600
Phone: (201) 942-2200
Fax: (201) 685-6702

The provider's authorized official is Jon Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.

The CLIA number assigned to this NPI record is 31D1024648 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/7/2017 and was last updated on 8/23/2022.

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
1261QM1300XClinic/CenterMulti-SpecialtyYes

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: 11/21/2025

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