Premier Pulmonology and Critical Care Medicine LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

25MB08398600 Issued in NJ

Legal business name

PREMIER PULMONOLOGY AND CRITICAL CARE MEDICINE LLC

Practice address

103 River Rd Ste 101
Edgewater, NJ 07020-1016

Phone

(908) 464-3636

Fax

(908) 464-6711

NPI assigned

Jun 21, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Samir I Abdelhadi, MDNPI 1689858011

Title

Owner

Phone

(908) 464-3636

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samir Isa Abdelhadi, DO

  • Pulmonary Disease Physician
  • Edgewater, NJ
  • NPI 1689858011
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1083134167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 RIVER RD STE 101",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201016",
            "telephone_number": "908-464-3636",
            "fax_number": "908-464-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 RIVER RD STE 101",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201016",
            "telephone_number": "908-464-3636",
            "fax_number": "908-464-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PULMONOLOGY AND CRITICAL CARE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ABDELHADI",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-464-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MB08398600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen S Piwowar, M.D.
• David Podell, DC
• Michael Pomykala, DPT
• Anuja A Pradhan, MD
• Jasmin Rohit Prasad, FNP
• Premier Surgical Assist LLC
• Danielle Press, M.S, R.D
• Progressive Podiatry of North Jersey
• Prohealth Care Associates of New Jersey LLP
• Prohealth Riverside Dental, LLC

• Pulmonary Disease Physician in Edgewater, NJ
• Providers in Edgewater, NJ by specialty
• Pulmonary Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.