Active NPI
Premier Physicians of New York PLLC
- Urology Physician
- New York, NY
National Provider Identifier
1427302942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- PREMIER PHYSICIANS OF NEW YORK PLLC
- Practice address
- 229 E 79TH St
Suite 1a
New York, NY 10075-0866 - Phone
- (646) 422-0926
- Fax
- (212) 717-9503
- NPI assigned
- Nov 6, 2012
- Last updated
- Jun 10, 2013
- 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
- Mitchell D Terk, MD
- Title
- Director
- Phone
- (904) 309-8680
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | NY | Primary |
Addresses
Primary practice location
229 E 79TH St
Suite 1a
New York, NY 10075-0866
Mailing address
3599 University Blvd S
Suite 805
Jacksonville, FL 32216-4252
Phone (904) 309-8680
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Specialist
- New York, NY
- NPI 1184642837
-
- Urology Physician
- New York, NY
- NPI 1558367771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370822400000",
"number": "1427302942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3599 UNIVERSITY BLVD S",
"address_2": "SUITE 805",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164252",
"telephone_number": "904-309-8680",
"fax_number": "904-345-5841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 E 79TH ST",
"address_2": "SUITE 1A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100750866",
"telephone_number": "646-422-0926",
"fax_number": "212-717-9503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER PHYSICIANS OF NEW YORK PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-06",
"last_updated": "2013-06-10",
"status": "A",
"authorized_official_last_name": "TERK",
"authorized_official_first_name": "MITCHELL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "904-309-8680",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Premier Physicians of New York PLLC (Elliot Nadelson, MD)
- Premier Physicians of New York PLLC (Alfred Shtainer, MD)
- Premier Physicians of New York PLLC
- Premier Physicians of New York PLLC (Tribecca Radiation Oncology)
- Premier Physicians of New York PLLC
- Premier Physicians of New York PLLC (Eastside Radiation Oncology)
- Premier Physicians of New York PLLC
- Premier Physicians of New York PLLC
- Premier Physicians of New York PLLC (Alexander Sotiropoulos, MD)
- Premier Physicians of New York PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.