Nicholas Premnauth, OD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

300 Highway 35 Ste 200
Eatontown, NJ 07724-2216

Phone

(732) 222-7373

NPI assigned

Jun 25, 2026

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Atlantic Eye Physicians, PA

  • Specialist
  • Eatontown, NJ
  • NPI 1629023551
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1782345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1033035852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 MINNESOTA AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087534103",
            "telephone_number": "848-448-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HIGHWAY 35 STE 200",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242216",
            "telephone_number": "732-222-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREMNAUTH",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-25",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preferred Behavioral Health of New Jersey, Inc
• Preferred Behavioral Health of New Jersey, Inc
• Preferred Behavioral Health of New Jersey, Inc.
• Preferred Home Health Care & Nursing Services Inc
• Premier Mental & Behavioral Services, Inc
• Shea-Lynn Prendergast, LPC
• Preop Medical LLC
• Andrea N Price, M.D.
• James Rawlins Price, CADC INTERN
• Prime Time Center Inc

• All providers in Eatontown, NJ
• Student in an Organized Health Care Education/Training Program in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.