NPIMap

Organization Active NPI

Premier Medical of NJ

  • Cardiovascular Disease Physician
  • Clifton, NJ
National Provider Identifier
1316724263
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
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
Last updated
Sep 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 Directory

Locations

999 Clifton Ave
Ste 1
Clifton, NJ 07013
Phone (212) 888-5932

144 State Route 34
Matawan, NJ 07747
Phone (732) 316-5895

141 US Highway 46
Ste 102
Rockaway, NJ 07866

4800 Broadway
Ste 212
Union City, NJ 07087
Phone (201) 766-1728

Practitioners & affiliated clinicians

Practitioners 71

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.

View all 71

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.

Verify at the official NPI Registry.