Premium Care

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PREMIUM CARE

Practice address

13606 76TH Rd
Flushing, NY 11367-2822

Phone

(718) 570-6018

NPI assigned

Jun 10, 2016

Last updated

Jun 10, 2016By 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

Mr. Daniel Mandelbaum, CPA

Title

Cep

Phone

(718) 570-6018

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1598114456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136-06 76TH ROAD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11367",
            "telephone_number": "718-570-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13606 76TH RD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672822",
            "telephone_number": "718-570-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "MANDELBAUM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEP",
        "authorized_official_telephone_number": "718-570-6018",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier One Pharmacy Inc. (Premium Pharmacy)
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• Premise Health of New York Medical, P.C (New York Times Occupational Health Center)
• Premium Home Services Cdpap LLC
• Premium Medical Care, P.C.
• Premium Medical Care, PC
• Premium Medical of New York PC
• Premium Medical of Ny,PC

• Skilled Nursing Facility in Flushing, NY
• Providers in Flushing, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.