PREMIUM FAMILY HEALTH CARE, LLC (NPI# 1407188923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407188923 |
| Entity Type | Organization |
| Organization Name | PREMIUM FAMILY HEALTH CARE, LLC |
| Practice Address |
115 Christopher Columbus Dr Suite 300 Jersey City NJ 07302-5526 |
| Practice Telephone | 2015473555 |
| Practice Fax Number | 2015478259 |
| Mailing Telephone | 2015473555 |
| Mailing Fax Number | 2015478259 |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2010-02-09 |
| Authorized Official Name | MS. CAROL CHRISTINE SKIPPER (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2015473555 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MA071041 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
115 CHRISTOPHER COLUMBUS DR SUITE 300 |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07302-5526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821081415 | Carol Christine Skipper | Family Medicine | 115 Christopher Columbus Dr, Suite 202, Jersey City, NJ 07302-5526 | 2005-08-30 |
| 1245849512 | Aura Urgent Care Corp | Clinic/Center | 115 Christopher Columbus Dr, Suite 200a, Jersey City, NJ 07302 | 2020-07-23 |
| 1316476542 | Sap Pharmacy Management Services LLC | Pharmacy | 115 Christopher Columbus Dr, Jersey City, NJ 07302-5526 | 2017-06-10 |
| 1942666599 | New Edge Orthopedics, LLC | Orthopaedic Surgery | 115 Christopher Columbus Dr, Suite 302, Jersey City, NJ 07302-5526 | 2016-01-13 |
| 1477938272 | Drs Medical Associates, LLC | Pediatrics | 115 Christopher Columbus Dr, Suite301, Jersey City, NJ 07302-5526 | 2015-07-22 |
| 1144609454 | Charming Smile Corp | Dentist | 115 Christopher Columbus Dr, Suite 200, Jersey City, NJ 07302-5526 | 2015-05-20 |
| 1437545621 | Family Foot and Ankle Care | Podiatrist | 115 Christopher Columbus Dr, Suite 404, Jersey City, NJ 07302-5526 | 2015-04-14 |
| 1205168192 | Jersey City Medical Center | Clinic/Center | 115 Christopher Columbus Dr, Department of Dentistry, Jersey City, NJ 07302-5526 | 2010-02-03 |
| 1659565240 | Eric Keith Reynolds | Podiatrist | 115 Christopher Columbus Dr, 404, Jersey City, NJ 07302-5526 | 2007-08-28 |
| 1023214483 | Anthony R Di Liberto | Chiropractor | 115 Christopher Columbus Dr, Suite 402, Jersey City, NJ 07302-5526 | 2007-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573641 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 396-420 Luis Munoz Marin Blvd., Jersey City, NJ 07302 | 2020-09-23 |
| 1679192728 | Alejo Terrence Degawan Tabur | Student in an Organized Health Care Education/Training Program | Jersey City Medical Center, 355 Grand Street, Jersey City, NJ 07302 | 2020-04-09 |
| 1982263224 | Yasir Rafique Rajwana | Student in an Organized Health Care Education/Training Program | Jersey City Medical Center, 355 - Grand Street, Jersey City, NJ 07302 | 2019-06-11 |
| 1821653866 | Flear Vaknin | Student in an Organized Health Care Education/Training Program | Jersey City Medical Center - Obgyn, 355 Grand Street, Jersey City, NJ 07302 | 2019-05-06 |
| 1497218044 | Wolf Performance Consulting LLC | Clinic/Center | 150 Bay Street 2nd Floor - Commercial Entrance, Located Inside of 150 Bay Crossfit, Jersey City, NJ 07302 | 2019-04-10 |
| 1841769734 | Jazmin Maria Del Salto | Psychologist | 395 Grand St., Jersey City, NJ 07302 | 2018-11-20 |
| 1376024075 | Rwj Barnabashealth - Jersey City Medical Center | Psychiatric Unit | 1805 Jfk Blvd, Jersey City, NJ 07302 | 2018-08-22 |
| 1134615123 | Judith Roman | Dentist | 349 2nd St Ste B2, Jersey City, NJ 07302 | 2018-07-03 |
| 1144724873 | Banan Mohammad | Chiropractor | 190 Christopher Columbus Dr # 5c, Jersey City, NJ 07302 | 2018-03-19 |
| 1477062347 | Kingsley Ogigi Oyem | Nurse Practitioner | Rwjbarnabas Health, Jersey City Medical Center, 355 Grand Street, Jersey City, NJ 07302 | 2017-09-23 |
| Find all providers in zip 07302 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275191629 | Paladina Health, LLC | Family Medicine | 631 Grand St Ste 2-500, Jersey City, NJ 07304-3451 | 2019-05-31 |
| 1124512389 | Dr Inna Riva Professional Corporation | Family Medicine | 206 Washington St Ste A, Jersey City, NJ 07302-4557 | 2018-06-20 |
| 1407368442 | Sanitas Medical Center of New Jersey PC | Family Medicine | 350 Montgomery St, Jersey City, NJ 07302-4041 | 2017-10-31 |
| 1669826053 | Titilola Olayemi Oloyede | Family Medicine | 30 Montgomery St Fl 14, Jersey City, NJ 07302-3829 | 2016-04-21 |
| 1548654130 | Mallik Patel | Family Medicine | 600 Pavonia Ave Ste 5-03, Jersey City, NJ 07306-2929 | 2015-03-23 |
| 1013327345 | Inna Riva | Family Medicine | 206 Warren St Apt 301, Jersey City, NJ 07302-4448 | 2014-05-08 |
| 1508168709 | Bayfront Medical Associates, LLC | Family Medicine | 1809 John F Kennedy Blvd, Ground Floor, Jersey City, NJ 07305-2184 | 2010-11-22 |
| 1346554110 | Jim Nguyen | Family Medicine | 70 Greene St, Apt 3603, Jersey City, NJ 07302-7587 | 2010-08-03 |
| 1154518181 | Jasvendar Singh Nandra | Family Medicine | 2690 John F Kennedy Blvd, Jersey City, NJ 07306-5804 | 2007-10-03 |
| 1891863676 | Sun C. Tzeng | Family Medicine | 172 Martin Luther King Jr Dr, Jersey City, NJ 07305-3309 | 2006-12-01 |
| Find all providers in JERSEY CITY | ||||
| City | JERSEY CITY |
| Zip Code | 07302 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.