PREMIER SURGICAL PAVILION, LLC (NPI# 1538466453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538466453 |
Entity Type | Organization |
Organization Name | PREMIER SURGICAL PAVILION, LLC |
Practice Address |
145 Roseville Ave Newark NJ 07107-1618 |
Mailing Address |
115 E 39th St New York NY 10016-0943 |
Practice Telephone | 2014882101 |
Practice Fax Number | 2014883929 |
Mailing Telephone | 2122230716 |
Mailing Fax Number | 2122230857 |
Enumeration Date | 2011-02-13 |
Last Update Date | 2012-05-11 |
Authorized Official Name | DR. MICHAEL EUGENE JONES (MEDICAL DIRECTOR) |
Authorized Official Telephone | 2122230716 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
70781 | NJ | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | CCN | 31C0001004 | 01 |
Street Address |
145 ROSEVILLE AVE |
City | NEWARK |
State | NJ |
Zip Code | 07107-1618 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518383512 | Lexington Foot and Ankle Center PC | Clinic/Center | 145 Roseville Ave, Newark, NJ 07107-1618 | 2014-03-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134747272 | Kobie Blair Morgan | Counselor | Kobie Blair Morgan, Esq., Mba, Ma, Lpc, 76-78 First Street, Suite 3, Newark, NJ 07107 | 2020-07-06 |
1811522634 | Yasheika Hermitt South | Licensed Practical Nurse | North 11th Street, Newark, NJ 07107 | 2020-03-12 |
1568941375 | Orange Street Spec LLC | Dentist | 509a Orange Street Suite A, Newark, NJ 07107 | 2018-08-13 |
1548617103 | Jose Andres Morales | Case Manager/Care Coordinator | 541 Roseville Av., Newark, NJ 07107 | 2016-05-24 |
1053743997 | Center for Wound Science and Healing | General Acute Care Hospital | 495 North 13th Street, 2nd Floor, Newark, NJ 07107 | 2013-08-02 |
1750620944 | Jeevan M Mathew | Physical Therapist | 500 0range Street, Suite 2, Newark, NJ 07107 | 2013-02-07 |
1982967386 | D & M Quality of Life Services, LLP | In Home Supportive Care | 285 Roseville Avenue, Suite 118, Newark, NJ 07107 | 2012-06-20 |
1710121496 | Paul Hsu | Pharmacist | 421 Bloomfield Ave, Guardys, Newark, NJ 07107 | 2009-04-27 |
1194969774 | Prescriptions Etc Inc. | Clinic/Center | 421 Bloomfield Ave., Guardys, Newark, NJ 07107 | 2009-04-27 |
1821269630 | Chandra Gupta | Pediatrics | 156 Roseville Avenue, Newark, NJ 07107 | 2008-03-19 |
Find all providers in zip 07107 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194285031 | Riverside Surgical Center of Newark, LLC | Clinic/Center | 393 Mulberry St, Newark, NJ 07102-3417 | 2019-03-25 |
1639561293 | Mulberry Ambulatory Surgical Center, LLC | Clinic/Center | 393-397 Mulberry Street, Newark, NJ 07012-3417 | 2015-02-19 |
1275774747 | Christiana Spine Ambulatory Surgical Center, LLC | Clinic/Center | 1101 Twin C Lane, Suite 102, Newark, DE 19713 | 2009-03-13 |
1538389812 | Ironbound Endosurgical Center, Inc | Clinic/Center | 24-28 Merchant Street, Newark, NJ 07105-2847 | 2007-04-27 |
1508839473 | Newark Endoscopy Asc LLC | Clinic/Center | 1090 Old Churchmans Rd, Newark, DE 19713-2102 | 2006-02-09 |
1508846411 | First State Surgery Center, LLC | Clinic/Center | 1000 Twin C Lane, Suite 200, Newark, DE 19713 | 2006-01-18 |
1497751747 | Mid-atlantic Endoscopy Center, LLC | Clinic/Center | 4923 Ogletown Stanton Rd, Ste 100, Newark, DE 19713-2081 | 2005-06-22 |
1518383512 | Lexington Foot and Ankle Center PC | Clinic/Center | 145 Roseville Ave, Newark, NJ 07107-1618 | 2014-03-14 |
1427361088 | Surgery Centers of Delmarva, LLC | Clinic/Center | 100 Biddle Ave, Suite 110, Newark, DE 19702-3981 | 2010-07-23 |
1194978114 | Manpreet Sahota Md PC | Clinic/Center | 201 Lyons Ave, Newark, NJ 07112-2027 | 2008-11-04 |
Find all providers in NEWARK |
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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.