PREMISE HEALTH OF PENNSYLVANIA MEDICAL P.C NPI 1194099523

NPI Information

  • NPI: 1194099523
  • Provider Name: PREMISE HEALTH OF PENNSYLVANIA MEDICAL, P.C
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Doing Business As: BNY WELLNESS CENTER
  • CLIA Number: 39D2038684
  • Address: 500 GRANT ST 20TH FLOOR
    PITTSBURGH, PA
    ZIP 15258
  • Phone: (412) 234-4500

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NPI Details

PREMISE HEALTH OF PENNSYLVANIA MEDICAL, P.C is a general practice in Pittsburgh, PA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PREMISE HEALTH OF PENNSYLVANIA MEDICAL, P.C NPI is 1194099523. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bny Wellness Center.

The provider's business location address is:

500 GRANT ST 20TH FLOOR
PITTSBURGH, PA
ZIP 15258-502
Phone: (412) 234-4500
Fax: (412) 234-5500

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 39D2038684 - other - occ health unit with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/2/2012 and was last updated on 8/15/2022.

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
1208D00000XGeneral PracticeYes

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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