Provider Type Icon

PREMISE HEALTH OF NEW JERSEY MEDICAL P.C NPI 1538588983


NPI Information

NPI: 1538588983
Provider Name: PREMISE HEALTH OF NEW JERSEY MEDICAL, P.C

Doing Business As: GOLDMAN SACHS HEALTH CENTER- 30H

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
30 HUDSON ST
3RD FLOOR
JERSEY CITY, NJ
ZIP 07302
Phone: (201) 902-0111
Get Directions

PREMISE HEALTH OF NEW JERSEY MEDICAL, P.C is a primary care clinic center in Jersey City, NJ. PREMISE HEALTH OF NEW JERSEY MEDICAL, P.C NPI is 1538588983. The provider is registered as an organization entity type.
The provider Is Doing Business As Goldman Sachs Health Center- 30h.

The provider's business location address is:

30 HUDSON ST
3RD FLOOR
JERSEY CITY, NJ
ZIP 07302-600
Phone: (201) 902-0111
Fax: (917) 343-1261

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 enumeration date for this NPI number is 4/14/2014 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.