Active NPI
Premium Healthcare Center
- Primary Care Clinic/Center
- East Brunswick, NJ
National Provider Identifier
1194481721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- PREMIUM HEALTHCARE CENTER
- Practice address
- 561 Cranbury Rd Ste E
East Brunswick, NJ 08816-5400 - Phone
- (732) 910-8673
- NPI assigned
- Nov 9, 2021
- Last updated
- Nov 9, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ikenna D Usonwu, FNP
- Title
- Director
- Phone
- (732) 910-8673
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | |||
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
561 Cranbury Rd Ste E
East Brunswick, NJ 08816-5400
Mailing address
1070 Robin Rd
Hillsborough, NJ 08844-4432
Phone (732) 910-8673
Other names 1
- Premium Healthcare Center
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Family Nurse Practitioner
- Hamilton, NJ
- NPI 1881109627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636416000000",
"number": "1194481721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1070 ROBIN RD",
"city": "HILLSBOROUGH",
"state": "NJ",
"postal_code": "088444432",
"telephone_number": "732-910-8673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "561 CRANBURY RD STE E",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088165400",
"telephone_number": "732-910-8673"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIUM HEALTHCARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-09",
"last_updated": "2021-11-09",
"certification_date": "2021-11-08",
"status": "A",
"authorized_official_last_name": "USONWU",
"authorized_official_first_name": "IKENNA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "732-910-8673",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Premium Healthcare Center",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in East Brunswick, NJ
- Precision Health & Rehabilitation LLC
- Precision Surgical Center,LLC
- Premier Home Care Inc.
- Premier OB-GYN Associates MD PC
- Premier Pain Centers, LLC.
- Donette Adrianna Price, DNP APN PMHNP BC
- Mariasela Prieto, MS, LAC, NCC
- Prima Pain Relief LLC
- Primary Care Partners, LLC (East Brunswick Family Practice Associates- Primary Care Partners Affil)
- Primary Podiatry LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.