Active NPI
Premier Bariatric New Jersey PC
- Specialist
- Wayne, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- PREMIER BARIATRIC NEW JERSEY PC
- Practice address
- 1680 Route 23
Wayne, NJ 07470-7501 - Phone
- (516) 616-5500
- NPI assigned
- Oct 10, 2018
- Last updated
- Jun 19, 2023
- 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
- Dr. Shawn Garber
- Title
- President
- Phone
- (516) 616-5500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NU | Primary |
Addresses
Primary practice location
1680 Route 23
Wayne, NJ 07470-7501
Mailing address
125 Mineola Ave Ste 200
Roslyn Heights, NY 11577-2042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1121 Route 22
Ste 203
Bridgewater, NJ 08807
Phone (908) 237-7412
230 Sherman Ave
Fl 2
Glen Ridge, NJ 07028
Phone (973) 750-0104
1 W Ridgewood Ave
Ste G2
Paramus, NJ 07652
Phone (201) 652-1213
120 Cedar Grove Ln
Unit T14
Somerset, NJ 08873
355 US Highway 22 E
Springfield, NJ 07081
Phone (908) 325-3000
1680 Route 23
Wayne, NJ 07470
Phone (800) 633-8446
Practitioners & affiliated clinicians
Practitioners 66
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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- NPI 1568635571
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- Surgery Physician
- Florham Park, NJ
- NPI 1770564742
-
- Surgical Physician Assistant
- Florham Park, NJ
- NPI 1982303160
-
- Surgery Physician
- Glen Ridge, NJ
- NPI 1306971874
-
- Surgical Physician Assistant
- Wayne, NJ
- NPI 1366195687
-
- Surgery Physician
- Wayne, NJ
- NPI 1285870428
-
- Surgery Physician
- Union, NJ
- NPI 1043475643
-
- Physician Assistant
- Orange, NJ
- NPI 1932845260
-
- Surgery Physician
- Springfield, NJ
- NPI 1497076012
-
- Surgery Physician
- Glen Ridge, NJ
- NPI 1649432097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687132800000",
"number": "1548735145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 MINEOLA AVE STE 200",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "115772042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1680 ROUTE 23",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074707501",
"telephone_number": "516-616-5500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER BARIATRIC NEW JERSEY PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-10",
"last_updated": "2023-06-19",
"certification_date": "2023-06-19",
"status": "A",
"authorized_official_last_name": "GARBER",
"authorized_official_first_name": "SHAWN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-616-5500",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.