PREMIER INTERNAL MEDICINE, PLLC (NPI# 1639391972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639391972 |
| Entity Type | Organization |
| Organization Name | PREMIER INTERNAL MEDICINE, PLLC |
| Practice Address |
850 Fulton Street Farmingdale NY 11735 |
| Practice Telephone | 5168451600 |
| Practice Fax Number | 5168455610 |
| Mailing Telephone | 5168451600 |
| Mailing Fax Number | 5168455610 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CLAIRE DIANE KOCH (MANAGING MEMBER) |
| Authorized Official Telephone | 5168451600 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
850 FULTON STREET |
| City | FARMINGDALE |
| State | NY |
| Zip Code | 11735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073151197 | Center Island Massage PC | Massage Therapist | 34 Hempstead Turnpike, Suite E, Farmingdale, NY 11735 | 2019-12-19 |
| 1447736434 | Melanie Clampitt | Occupational Therapy Assistant | 158 Sunset Ave, Farmingdale, NY 11735 | 2018-07-13 |
| 1841789120 | I-ting Lin | Acupuncturist | 376 Fulton St. The Phoenix Eastern Medicine Center, Farmingdale, NY 11735 | 2018-05-02 |
| 1447767371 | Nashon Clark | Social Worker | 565 Broadhollow Rd Ste 6e, Farmingdale, NY 11735 | 2017-12-31 |
| 1336669639 | Robby Harris | Psychologist | 31 Lincoln Street, Farmingdale, NY 11735 | 2017-06-27 |
| 1265961544 | Stacey Gouzos | Behavior Technician | 29 Bernard Street, Farmingdale, NY 11735 | 2017-06-08 |
| 1962856450 | Integrated Medical Interventional Diagnostics PC | Registered Nurse | 1111 Broad Hollow Rd 110 Suite 114, Farmingdale, NY 11735 | 2016-04-20 |
| 1528433604 | Robert Gerard Jr. | Peer Specialist | 142-02 20th Aveune, Rosedale, NY 11735 | 2015-12-01 |
| 1750750329 | Glenda Lopez | Case Manager/Care Coordinator | 539 Broad Hollow Rd, Suite 202, Farmingdale, NY 11735 | 2015-09-24 |
| 1366849911 | Jeffrey Rosa | Counselor | 500 Bi-country Blvd, Suite 114, Farmingdale, NY 11735 | 2014-11-25 |
| Find all providers in zip 11735 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477190809 | Hospice of Jefferson County, Inc. | Internal Medicine | 531 Washington St Ste 1100, Watertown, NY 13601-4037 | 2019-12-04 |
| 1841648011 | Infinity Medical Group P.C. | Internal Medicine | 275 Northpointe Pkwy, Suite 50, Amherst, NY 14228-1895 | 2016-05-29 |
| 1285044800 | Lawrence Asprec | Internal Medicine | 525 E 68th St # 14, New York, NY 10065-4870 | 2014-05-05 |
| 1588082960 | Anup Suresh Bharani | Internal Medicine | 1468 Madison Ave Bldg 10th, New York, NY 10029-6508 | 2014-04-02 |
| 1740613603 | Vanessa Silvana Lewis Ramos | Internal Medicine | 3347 Steuben Ave Fl 2, Bronx, NY 10467-2805 | 2013-08-14 |
| 1871883405 | Eugene Choi | Internal Medicine | 350 E 17th St Fl 12, New York, NY 10003-3805 | 2011-04-16 |
| 1902035215 | Lourdes Gricel Merlo | Internal Medicine | 65-45 Saunders Street, 6f, Rego Park, NY 11374 | 2009-07-08 |
| 1033319314 | Sarita Patel | Internal Medicine | 171 Lawrence Ave, Eastchester, NY 10709-5417 | 2007-07-24 |
| 1871704379 | Clement Stephen Connolly | Internal Medicine | 89 Horton St, Bronx, NY 10464-1618 | 2007-05-25 |
| 1053539585 | Saverio Acquafredda | Internal Medicine | 212 Cromwell Ave, Staten Island, NY 10305-1308 | 2007-04-22 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGDALE |
| Zip Code | 11735 |
Please comment or provide details below to improve the information on PREMIER INTERNAL MEDICINE, PLLC.
| 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.