Prestige Health Center P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

25MB07566200 Issued in NJ

Legal business name

PRESTIGE HEALTH CENTER P.C.

Practice address

385 Lakeview Ave Ste 4
Clifton, NJ 07011-4075

Phone

(973) 928-3840

Fax

(973) 928-3843

NPI assigned

Jun 14, 2016

Last updated

Jun 14, 2016By 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. Roman Kosiborod, M.D.

Title

Medical Director

Phone

(973) 928-3840

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1275983967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 LAKEVIEW AVE STE 4",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070114075",
            "telephone_number": "973-928-3840",
            "fax_number": "973-928-3843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 LAKEVIEW AVE STE 4",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070114075",
            "telephone_number": "973-928-3840",
            "fax_number": "973-928-3843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE HEALTH CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "KOSIBOROD",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "973-928-3840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MB07566200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• David Mitchell Press, DMD
• Prestige Dental PC
• Jenna K. Presto
• Prevention Clinics LLC
• Primary Care Partners, LLC (Nermi Onat, MD-Primary Care Partners Affiliate)
• Prime Care Medical Services Inc
• Prime Hands Home Care

• Primary Care Clinic/Center in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.