Premier Immediate Medical Care, LLC Premier Urgent Care

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

0600337227 Issued in NJ

Legal business name

PREMIER IMMEDIATE MEDICAL CARE, LLC PREMIER URGENT CARE

Practice address

1601 Kings Hwy N
Suite 800
Cherry Hill, NJ 08034-2309

Phone

(856) 433-6200

Fax

(856) 433-6201

NPI assigned

Mar 12, 2009

Organization subpart

Yes

Parent organization

PREMIER IMMEDIATE MEDICAL CARE,LLCAs reported in NPPES

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

Authorized official

Name

Dr. Edward M Silverman, D.O.

Title

Ceo

Phone

(610) 728-6074

Specialties & licenses 2

Addresses

Other names 1

• Premier Urgent Care Doing business as

Part of

Premier Immediate Med Care

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Bacchus, PA-C

  • Physician Assistant
  • Cherry Hill, NJ
  • NPI 1164747036
  NPD (past)
• Lynn M Gallagher, PA-C

  • Medical Physician Assistant
  • Newark, DE
  • NPI 1366719882
  NPD (past)
• Hannah Lovallo, PA-C

  • Medical Physician Assistant
  • Fayetteville, NY
  • NPI 1902134216
  NPD (past)
• Jessica Whitman, P.A.

  • Physician Assistant
  • Atlantis, FL
  • NPI 1336548395
  NPD (past)

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1295976876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CRESSON BLVD",
            "address_2": "SUITE 110",
            "city": "OAKS",
            "state": "PA",
            "postal_code": "194560876",
            "telephone_number": "610-728-6074",
            "fax_number": "610-728-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 KINGS HWY N",
            "address_2": "SUITE 800",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342309",
            "telephone_number": "856-433-6200",
            "fax_number": "856-433-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER IMMEDIATE MEDICAL CARE, LLC PREMIER URGENT CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER IMMEDIATE MEDICAL CARE,LLC",
        "enumeration_date": "2009-03-12",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "SILVERMAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-728-6074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NJ",
            "license": "0600337227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Cherry Hill, NJ
• Urgent Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.