PREMISE HEALTH OF NEW JERSEY MEDICAL P.C NPI 1366997942

NPI Information

  • NPI: 1366997942
  • Provider Name: PREMISE HEALTH OF NEW JERSEY MEDICAL, P.C
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Doing Business As: NJM WEST TRENTON CLINIC
  • CLIA Number: 31D2121112
  • Address: 301 SULLIVAN WAY
    EWING, NJ
    ZIP 08628
  • Phone: (609) 883-1300

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NPI Details

PREMISE HEALTH OF NEW JERSEY MEDICAL, P.C is a multi-specialty clinic center in Ewing, NJ. PREMISE HEALTH OF NEW JERSEY MEDICAL, P.C NPI is 1366997942. The provider is registered as an organization entity type.
The provider Is Doing Business As Njm West Trenton Clinic.

The provider's business location address is:

301 SULLIVAN WAY
EWING, NJ
ZIP 08628-406
Phone: (609) 883-1300

The provider's authorized official is Jon B 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 31D2121112 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/24/2016 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: 3/30/2025

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