Active NPI
Michele Lynn Preminger, M.D.
- Psychiatry Physician
- Waldwick, NJ
National Provider Identifier
1568577336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MA07395800
- Practice address
- 71 Franklin Tpke
Suite 2-6
Waldwick, NJ 07463-1851 - Phone
- (201) 820-2980
- Fax
- (201) 820-1016
- NPI assigned
- Aug 20, 2006
- Last updated
- Oct 29, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25MA07395800 | NJ | Primary |
Addresses
Primary practice location
71 Franklin Tpke
Suite 2-6
Waldwick, NJ 07463-1851
Mailing address
71 Franklin Tpke
Suite 2-6
Waldwick, NJ 07463-1851
Phone (201) 820-2980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07395800 | NJ | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256774400000",
"number": "1568577336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 FRANKLIN TPKE",
"address_2": "SUITE 2-6",
"city": "WALDWICK",
"state": "NJ",
"postal_code": "074631851",
"telephone_number": "201-820-2980",
"fax_number": "201-820-1016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 FRANKLIN TPKE",
"address_2": "SUITE 2-6",
"city": "WALDWICK",
"state": "NJ",
"postal_code": "074631851",
"telephone_number": "201-820-2980",
"fax_number": "201-820-1016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREMINGER",
"first_name": "MICHELE",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2009-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA07395800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waldwick, NJ
- Pauravi Raval (Active Foot & Ankle Associates)
- Sania Perez, M.D.
- Lindsay Petouvis, PSY.D.
- Sophie Pielka-Nunez
- Precision Upper Cervical PA
- Karl Henry Prinz, LAC
- Professional Occupational & Physical Therapy, PLLC
- Professional Orthopedic and Sports Physical Therapy of N.J., L.L.C.
- Progressive Oral Surgery LLC
- Psychological Consulting and Therapy Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.