Active NPI
Premier Medicine and Wellness LLC
- Internal Medicine Physician
- Bordentown, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PREMIER MEDICINE AND WELLNESS LLC
- Practice address
- 231 Crosswicks Rd Ste 11
Bordentown, NJ 08505-2602 - Phone
- (609) 298-7204
- Fax
- (609) 298-0491
- NPI assigned
- Oct 1, 2012
- Last updated
- Jan 27, 2021
- 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
- Mrs. Prathibha Potharlanka, M.D.
- Title
- President
- Phone
- (856) 465-7728
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
231 Crosswicks Rd Ste 11
Bordentown, NJ 08505-2602
Mailing address
30 Belmont Cir
Columbus, NJ 08022-9714
Phone (609) 789-0800
Other practice location 1
8 Centre Dr
Monroe, NJ 08831-1522
Phone (609) 655-2411 ext. 2
National Provider Directory
National Provider DirectoryLocations
8 Centre Dr
Ste 1A
Monroe Township, NJ 08831
Phone (609) 655-2411
Practitioners & affiliated clinicians
Practitioners 2
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.
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- Willingboro, NJ
- NPI 1295761690
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- Cardiovascular Disease Physician
- Phoenix, MD
- NPI 1215915012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611705600000",
"number": "1346591351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 BELMONT CIR",
"city": "COLUMBUS",
"state": "NJ",
"postal_code": "080229714",
"telephone_number": "609-789-0800",
"fax_number": "609-450-7612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 CROSSWICKS RD STE 11",
"city": "BORDENTOWN",
"state": "NJ",
"postal_code": "085052602",
"telephone_number": "609-298-7204",
"fax_number": "609-298-0491"
}
],
"practiceLocations": [
{
"address_1": "8 Centre Dr",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "NJ",
"postal_code": "088311522",
"country_code": "US",
"telephone_number": "609-655-2411 x2",
"fax_number": "609-655-2410",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PREMIER MEDICINE AND WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-01",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A",
"authorized_official_last_name": "POTHARLANKA",
"authorized_official_first_name": "PRATHIBHA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "856-465-7728",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bordentown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.