Tri-State Premier Medical Mso, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

TRI-STATE PREMIER MEDICAL MSO, LLC

Practice address

233 Nostrand Ave
Preferred Health Partners
Brooklyn, NY 11205-4924

Phone

(718) 564-2074

NPI assigned

Jan 20, 2012

Organization subpart

No

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

Authorized official

Name

Dennis Price

Title

Treasurer

Phone

(718) 422-8055

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1346511482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 WASHINGTON BLVD FL 14",
            "address_2": "C/- MANHATTAN'S PHYSICIAN GROUP",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073102010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 NOSTRAND AVE",
            "address_2": "PREFERRED HEALTH PARTNERS",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112054924",
            "telephone_number": "718-564-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE PREMIER MEDICAL MSO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "718-422-8055"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.