Organization Active NPI

NJ Premier Medical Care

  • Internal Medicine Physician
  • Clifton, NJ
National Provider Identifier
1386021913
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NJ PREMIER MEDICAL CARE
Practice address
716 Broad St
Clifton, NJ 07013-1645
Phone
(973) 773-2039
NPI assigned
May 4, 2015
Last updated
May 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Authorized official

Name
Peyman Maghsoudlou
Title
Manager
Phone
(973) 773-2039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

716 Broad St
Clifton, NJ 07013-1645

Mailing address

PO Box 717
West Paterson, NJ 07424-0717
Phone (973) 773-2039

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1386021913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 717",
            "city": "WEST PATERSON",
            "state": "NJ",
            "postal_code": "074240717",
            "telephone_number": "973-773-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 BROAD ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131645",
            "telephone_number": "973-773-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ PREMIER MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "MAGHSOUDLOU",
        "authorized_official_first_name": "PEYMAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-773-2039"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 May 4, 2015; 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.