Premier Medical LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PREMIER MEDICAL LLC

Practice address

400 Foxborough Blvd Apt 4208
Foxborough, MA 02035-3807

Phone

(443) 813-3117

NPI assigned

Jan 20, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Ermal Bojdani, MD

Title

President, Chief Medical Officer

Phone

(443) 813-3117

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579478400000",
    "number": "1568092476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 FAIRHAVEN DR",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FOXBOROUGH BLVD APT 4208",
            "city": "FOXBOROUGH",
            "state": "MA",
            "postal_code": "020353807",
            "telephone_number": "443-813-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-20",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A",
        "authorized_official_last_name": "BOJDANI",
        "authorized_official_first_name": "ERMAL",
        "authorized_official_title_or_position": "PRESIDENT, CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "443-813-3117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Michael Peltsman
• Lauren Pereira, LMHC
• Douglas J Perron, PTA
• Morgan Pfizenmaier
• Alexandra Pietropaoli, PT, DPT
• Jessica Leigh Pushee, D.M.D.
• Abbey Quan, RD
• Riley Rainville
• Paula J Reis, D.O.
• Kevin Richard, ATC

• Psychiatry Physician in Foxborough, MA
• Providers in Foxborough, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.