PREMIER PHYSICIAN SERVICES (NPI# 1427188473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427188473 |
| Entity Type | Organization |
| Organization Name | PREMIER PHYSICIAN SERVICES |
| Practice Address |
14 Vanderventer Ave Ste 138 Suite 130-138 Port Washington NY 11050-3737 |
| Mailing Address |
14 Vanderventer Ave.suite 138 Suite 130-138 Port Washington NY 11050 |
| Practice Telephone | 5168833383 |
| Practice Fax Number | 5168835812 |
| Mailing Telephone | 5168833383 |
| Mailing Fax Number | 5168835812 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOSEPH T SHEN (PRESIDENT) |
| Authorized Official Telephone | 5168833383 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207Q00000X | Family Medicine | 171781 | NY | Allopathic & Osteopathic Physicians |
| X | 208100000X | Physical Medicine & Rehabilitation | 187122-1 | NY | Allopathic & Osteopathic Physicians |
| X | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
165520 | NY | Allopathic & Osteopathic Physicians |
| X | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 187122-1 | NY | Allopathic & Osteopathic Physicians |
| X | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
187122-1 | NY | Allopathic & Osteopathic Physicians |
| X | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
165520 | NY | Allopathic & Osteopathic Physicians |
| X | 2083T0002X |
Preventive Medicine Specialization: Medical Toxicology |
165520 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225376817 | Premier Physician Services | Internal Medicine | 4445 Eastgate Mall, Suite 200, San Diego, CA 92121-1979 | 2013-01-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | PREMIER PHYSICIAN SERVICES, INC. | 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 |
| Street Address |
14 VANDERVENTER AVE STE 138 SUITE 130-138 |
| City | PORT WASHINGTON |
| State | NY |
| Zip Code | 11050-3737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144689696 | One-care Physical Therapy Pllc | Physical Therapist | 45 B Dunwood Rd, Port Washington, NY 11050 | 2016-02-12 |
| 1720472525 | Dominique Neebe | Specialist | 141 Middleneck Road, Sands Point, NY 11050 | 2015-03-19 |
| 1902237316 | Cheryl Goldfarb | Speech-Language Pathologist | 11 Leeds Drive, Port Washington, NY 11050 | 2013-12-11 |
| 1467722454 | Robert Cerpa | Psychologist | 6 Morewood Oaks, Manorhaven Elementary School, Port Washington, NY 11050 | 2012-01-06 |
| 1043515828 | Tak Wai Chau | Social Worker | 36 Rockwood Ave, Port Washingto, NY 11050 | 2011-01-25 |
| 1073823167 | Donna Lee Kosina | Occupational Therapist | 10 Maple Dr., Port Washington, NY 11050 | 2010-10-07 |
| 1962710467 | Alicia Marie Leporati | Counselor | 9 Graywood Rd, Port Washington, NY 11050 | 2010-09-17 |
| 1164747630 | Thomas Young Suh | Pharmacist | 100 Habor View Drive #630, Port Washington, NY 11050 | 2010-03-29 |
| 1376778142 | Ellen J Satloff | Social Worker | 14 Terrace Drive, Port Washington, NY 11050 | 2009-05-22 |
| 1376707547 | Port Washington Dental Associates | Clinic/Center | 18 Haven Ave, Port Washington, NY 11050 | 2008-07-16 |
| Find all providers in zip 11050 | ||||
| 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 |
|---|---|---|---|---|
| 1679801344 | Raymond J. Voulo | Family Medicine | 71 Longview Rd, Port Washington, NY 11050-3039 | 2009-11-18 |
| 1437483120 | Danielle D Roberts | Family Medicine | 403-1 Main Street, Port Washington, NY 11040 | 2009-09-28 |
| 1790966968 | Scott Rex, Md, LLC. | Family Medicine | 620 Port Washington Blvd, Port Washington, NY 11050-3714 | 2007-11-16 |
| 1457493694 | Gabrielle C. Young-lyon | Family Medicine | 23 Dolphin Grn Apt E2b, Port Washington, NY 11050-3161 | 2007-02-13 |
| 1750429007 | Raymond Webster | Family Medicine | 2 Hampton Ct, Port Washington, NY 11050-3021 | 2007-02-01 |
| 1649318981 | Raymond A Webster | Family Medicine | 2 Cow Neck Rd, Port Washington, NY 11050-1712 | 2007-02-01 |
| 1760568851 | Gerald Zupnick | Family Medicine | 15 Hampton Rd, Port Washington, NY 11050-3008 | 2006-10-31 |
| 1801819180 | Farzad Tabibzadeh | Family Medicine | 22 S Maryland Ave, Port Washington, NY 11050-2913 | 2006-07-26 |
| 1053375246 | Scott L Rex | Family Medicine | 6 Bernard St, Port Washington, NY 11050-2902 | 2006-04-14 |
| 1497716880 | John P Bonavia | Family Medicine | 1317 W Grand Ave, Port Washington, WI 53074-2075 | 2006-03-28 |
| Find all providers in PORT WASHINGTON | ||||
| City | PORT WASHINGTON |
| Zip Code | 11050 |
Please comment or provide details below to improve the information on PREMIER PHYSICIAN SERVICES.
| 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.