Premier Family Healthcare PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB07034900 Issued in NJ

Legal business name

PREMIER FAMILY HEALTHCARE PA

Practice address

24 Arnett Ave Ste 105
Lambertville, NJ 08530-1500

Phone

(609) 397-1775

NPI assigned

Nov 23, 2011

Last updated

Sep 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Frances J Russo, MDNPI 1639357163

Title

President

Phone

(609) 397-1775

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Frances Jenny Russo, D.O.

  • Family Medicine Physician
  • Lambertville, NJ
  • NPI 1639357163
  Medicare reassignment Care Compare group NPD Authorized official
• Steven Russo, M.D.

  • Internal Medicine Physician
  • Lambertville, NJ
  • NPI 1982706503
  Medicare reassignment Care Compare group NPD
• Elizabeth Ann Recupero, D.O.

  • Internal Medicine Physician
  • Mandeville, LA
  • NPI 1396728606
  NPD (past)

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1447527171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 ARNETT AVE STE 105",
            "city": "LAMBERTVILLE",
            "state": "NJ",
            "postal_code": "085301500",
            "telephone_number": "609-397-1775",
            "fax_number": "609-397-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 ARNETT AVE STE 105",
            "city": "LAMBERTVILLE",
            "state": "NJ",
            "postal_code": "085301500",
            "telephone_number": "609-397-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER FAMILY HEALTHCARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-23",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-397-1775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB07034900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bhaumik Patel, D.O.
• Dipan Patel, D.P.M
• Lauren Patel
• Manishkumar Patel
• Susanne Pitak Davis, LPC 01178
• Premier Therapy Services
• Premier Therapy Services LLC
• Rethink Dental Health
• Ann Elizabeth Ricker, MSED, PMHCNS
• Rivermax

• Family Medicine Physician in Lambertville, NJ
• Providers in Lambertville, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.