Premier Spine and Wellness, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

PREMIER SPINE AND WELLNESS, LLC

Practice address

1809 Corlies Avenue
Suite 3
Neptune, NJ 07753

Phone

(732) 618-3220

NPI assigned

Sep 28, 2023

Last updated

Sep 28, 2023By 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

Robert Khamish, DC

Title

Owner

Phone

(732) 618-3220

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1093594954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 481",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077510481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 CORLIES AVENUE",
            "address_2": "SUITE 3",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "07753",
            "telephone_number": "732-618-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SPINE AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "KHAMISH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-618-3220",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Powers, APN, CPNP
• Jessica Leigh Prati, DO
• Preferred Home Health Care & Nursing Services
• Preferred Home Healthcare & Nursing Services, Inc. (Care Options for Kids)
• Premier Health Group Limited Liability Company (Premier Health Group LLC)
• Joni Lynn Prentice, NP
• Amanda Kay Preston, PA
• Kimberly Ann Principato, APN
• Jayne Young Propert, APN-RN, MSN
• Constance Victoria Protentis, PA-C

• Health Service Clinic/Center in Neptune, NJ
• Providers in Neptune, NJ by specialty
• Health Service Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.