Organization Active NPI

Premier Infectious Disease Care, Inc

  • Infectious Disease Physician
  • Galloway, NJ
National Provider Identifier
1497182224
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
PREMIER INFECTIOUS DISEASE CARE, INC
Practice address
415 Chris Gaupp Dr
Suite C
Galloway, NJ 08205-4440
Phone
(609) 568-0599
Fax
(609) 748-7574
NPI assigned
Oct 13, 2013
Last updated
Aug 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Authorized official

Name
Amrita Kaur, DO
Title
Owner
Phone
(609) 568-0599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X Primary

Addresses

Primary practice location

415 Chris Gaupp Dr
Suite C
Galloway, NJ 08205-4440

Mailing address

4 Westminster Dr
Voorhees, NJ 08043-3701
Phone (609) 568-0599

National Provider Directory

National Provider Directory

Locations

415 Chris Gaupp Dr
Ste C
Galloway, NJ 08205
Phone (609) 748-7574

NPI Registry JSON

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

{
    "created_epoch": "1381622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1497182224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WESTMINSTER DR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433701",
            "telephone_number": "609-568-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 CHRIS GAUPP DR",
            "address_2": "SUITE C",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054440",
            "telephone_number": "609-568-0599",
            "fax_number": "609-748-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER INFECTIOUS DISEASE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-13",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "AMRITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-568-0599",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.