Active NPI
Premier Medical of NJ
- Cardiovascular Disease Physician
- Clifton, NJ
National Provider Identifier
1316724263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- PREMIER MEDICAL OF NJ
- Practice address
- 999 Clifton Ave Ste 1
Clifton, NJ 07013-2711 - Phone
- (888) 302-4007
- NPI assigned
- Sep 13, 2023
- 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
- David Delvecchio
- Title
- Ceo
- Phone
- (973) 226-2434
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | |||
| Cardiovascular Disease Physician | 207RC0000X | Primary | ||
| Surgery Physician | 208600000X | |||
| Physical Therapist | 225100000X |
Addresses
Primary practice location
999 Clifton Ave Ste 1
Clifton, NJ 07013-2711
Mailing address
999 Clifton Ave Ste 1
Clifton, NJ 07013-2711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240214003533 | NJ | Part B Supplier - Clinic/Group Practice | 1456795772 |
Receives reassigned benefits from 12 practitioners Practice locations: Waldwick, NJ; Union City, NJ; Secaucus, NJ; Rockaway, NJ; Elizabeth, NJ; North Bergen, NJ; Montclair, NJ; Matawan, NJ… |
National Provider Directory
National Provider DirectoryLocations
240 Williamson St
Ste 304
Elizabeth, NJ 07202
Phone (908) 282-2000
144 State Route 34
Matawan, NJ 07747
Phone (732) 316-5895
141 US Highway 46
Ste 102
Rockaway, NJ 07866
Practitioners & affiliated clinicians
Practitioners 71
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789084800000",
"number": "1316724263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 CLIFTON AVE STE 1",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070132711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 CLIFTON AVE STE 1",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070132711",
"telephone_number": "888-302-4007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER MEDICAL OF NJ",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-13",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A",
"authorized_official_last_name": "DELVECCHIO",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "973-226-2434"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.