Organization Active NPI

Premium Health Inc

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
National Provider Identifier
1609129402
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
000000 Issued in NY
Legal business name
PREMIUM HEALTH INC
Practice address
1010 McDonald Ave
Brooklyn, NY 11230-1010
Phone
(718) 407-7300
Fax
(718) 859-5047
NPI assigned
Oct 18, 2012
Organization subpart
No

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 106

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 106

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2153301Premium Health Center620 Foster Ave - Suite 200, Brooklyn, NY 11230Provider-performed microscopyMar 26, 2027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY8 enrollments

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
O20131120001513 NY Part A Provider - Federally Qualified Health Center (FQHC) 4981830023 Practice locations: Brooklyn, NY
O20140703001051 NY Part B Supplier - Clinic/Group Practice 4981830023 Receives reassigned benefits from 28 practitioners
Practice locations: Brooklyn, NY
O20160727000096 NY Part A Provider - Federally Qualified Health Center (FQHC) 4981830023 1 other NPI on this enrollment
Practice locations: Brooklyn, NY
O20190925001839 NY Part A Provider - Federally Qualified Health Center (FQHC) 4981830023 Practice locations: Brooklyn, NY
O20241010003228 NY Part A Provider - Federally Qualified Health Center (FQHC) 4981830023 Practice locations: Brooklyn, NY
O20241030000544 NY Part A Provider - Federally Qualified Health Center (FQHC) 4981830023 Practice locations: Far Rockaway, NY
O20241030001575 NY Part A Provider - Federally Qualified Health Center (FQHC) 4981830023 Practice locations: Brooklyn, NY
O20251230002624 NY Part A Provider - Federally Qualified Health Center (FQHC) 4981830023 Practice locations: Far Rockaway, NY

Federally qualified health center certification: CCN 331083

Legal name
PREMIUM HEALTH, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 12, 2013
Last certification
Dec 12, 2013
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 20, 2010 in NY
Enrollment address
620 Foster Ave 200
Brooklyn, NY 11230-1399

Federally qualified health center certification: CCN 571008

Legal name
PREMIUM HEALTH, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 27, 2016
Last certification
Jul 27, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 20, 2010 in NY
Enrollment address
5506 15TH Ave
Brooklyn, NY 11219-4311

Federally qualified health center certification: CCN 571184

Legal name
PREMIUM HEALTH, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 25, 2019
Last certification
Sep 25, 2019
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
4514 16TH Ave
FL 4
Brooklyn, NY 11204-1101

Federally qualified health center certification: CCN 571881

Legal name
PREMIUM HEALTH, INC.
Doing business as
PREMIUM HEALTH INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 10, 2024
Last certification
Oct 10, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 20, 2010 in NY
Enrollment address
4406 12TH Ave
Brooklyn, NY 11219-1094

Federally qualified health center certification: CCN 571888

Legal name
PREMIUM HEALTH, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 27, 2024
Last certification
Oct 27, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 20, 2010 in NY
Enrollment address
257 Beach 17TH St
Far Rockaway, NY 11691-4433

Federally qualified health center certification: CCN 571885

Legal name
PREMIUM HEALTH, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 27, 2024
Last certification
Oct 27, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 20, 2010 in NY
Enrollment address
5323 18TH Ave
Brooklyn, NY 11204-1523

Federally qualified health center certification: CCN 571938

Legal name
PREMIUM HEALTH, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 29, 2025
Last certification
Dec 29, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
1212 Seagirt Boulevard FL 3
Far Rockaway, NY 11691-5614

All disclosed owners & managing parties 15

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Galina Hoolin Individual W-2 Managing EmployeeContracting and Credentialing Admin Jun 19, 2019 100%
W-2 Managing EmployeeCredentialing Manager Aug 19, 2017 100%
Shiya Ostreicher Individual Corporate OfficerBoard Member Jul 10, 2012 100%
Corporate OfficerBoard Member / Vice Chair Jul 10, 2012 100%
Chaim Pinter Individual Corporate OfficerBoard Member Jul 10, 2012 100%
Corporate Officer Jul 10, 2012 100%
Corporate OfficerBoard Member Jun 6, 2025 100%
Shmeal Wieder Individual Corporate OfficerBoard Member Jul 10, 2012 100%
Corporate OfficerBoard Member Jun 6, 2025 100%
Esther Bernstein Individual Corporate OfficerBoard Member Jul 1, 2012 100%
Corporate OfficerBoard Member Jul 10, 2012 100%
Corporate OfficerBoard Member Jul 10, 2012
Corporate Officer Jul 10, 2012 100%
Corporate OfficerBoard Member Jun 6, 2025 100%
Elky Miller Individual Corporate OfficerBoard Member Jul 10, 2012 100%
Corporate OfficerBoard Member Jun 6, 2025 100%
Chaim Steinmetz Individual Corporate OfficerBoard Member Jul 10, 2012 100%
Corporate OfficerBoard Member / Secretary &Treasure Jul 10, 2012 100%
Corporate OfficerBoard Secretary and Treasure Jul 10, 2012 100%
Corporate OfficerBoard Secretary and Treasurer Jul 10, 2012 100%
Corporate OfficerBoard Secretary & Treasurer Jun 6, 2025 100%
Avi Stern Individual Corporate OfficerBoard Member Jul 10, 2012 100%
Corporate OfficerBoard Member Jul 10, 2012
Corporate OfficerBoard Member Jun 6, 2025 100%
Alexander Ornstein Individual Corporate OfficerChairman of the Board Jul 10, 2012 100%
Corporate OfficerBoard Member / President Jul 10, 2012 100%
Corporate OfficerPresident of the Board of Directors Jul 10, 2012 100%
Corporate OfficerBoard Chair Jul 10, 2012 100%
Corporate OfficerBoard Chair Jul 10, 2012
Corporate OfficerPresident and Chairperson Jun 6, 2025 100%
Meir Brody Individual W-2 Managing EmployeeChief Executive Officer Jun 19, 2019 100%
W-2 Managing EmployeeExecutive Director Dec 1, 2013 100%
Corporate DirectorCeo Dec 1, 2013 100%
W-2 Managing EmployeeCeo Dec 1, 2013 100%
W-2 Managing EmployeeChief Executive Officer Dec 1, 2013 100%
Corporate DirectorChief Executive Officer Dec 12, 2013 100%
W-2 Managing EmployeeChief Executive Officer Dec 12, 2013 100%
Corporate DirectorChief Executive Officer Dec 12, 2013
Corporate DirectorCeo Jun 6, 2025 100%
W-2 Managing EmployeeCeo Jun 6, 2025 100%
Mark Stanley Weinstock Individual Corporate OfficerBoard Member Jul 10, 2012 100%
Corporate OfficerVice Chairperson Jun 6, 2025 100%
Naomi Wagschal Individual W-2 Managing EmployeeOperations Manager Jan 1, 2023
W-2 Managing EmployeeOperations Manager Sep 13, 2016 100%
W-2 Managing EmployeeOperations Manager Sep 12, 2016 100%
Operational/Managerial ControlOperations Manager Jun 6, 2025 100%
Zisel Krausz Individual Corporate OfficerBoard Member Apr 3, 2024 100%
Corporate OfficerBoard Member Mar 1, 2024 100%
Corporate OfficerBoard Member Sep 1, 2024 100%
Corporate OfficerBoard Member Sep 1, 2024
Corporate OfficerBoard Member Jun 6, 2025 100%
Malky Friedman Individual Corporate OfficerBoard Member Apr 3, 2024 100%
Corporate OfficerBoard Member Jun 6, 2025 100%
Premium Health, Inc. Organization, Brooklyn, NY Non-profit Operational/Managerial Control Apr 20, 2010 100%
Operational/Managerial Control Jun 6, 2025 100%

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2 Industrial Way W
Ste 204
Eatontown, NJ 07724

109 Professional View Dr
Bldg 100
Freehold, NJ 07728
Phone (973) 971-4600

95 Marlton Pike W
Marlton, NJ 08053
Phone (201) 819-5810

955 S Springfield Ave
Ste 103
Springfield, NJ 07081

620 Foster Ave
Ste 200
Brooklyn, NY 11230
Phone (718) 407-7300

4510 16th Ave
Fl 3
Brooklyn, NY 11204
Phone (718) 964-3306

5323 18th Ave
Brooklyn, NY 11204
Phone (718) 438-4400

620 Foster Ave
Brooklyn, NY 11230

4514 16th Ave
Fl 4
Brooklyn, NY 11204
Phone (718) 407-7300

4514 16th Ave
Brooklyn, NY 11204
Phone (718) 407-7300

212 Beach 13th St
Ste 301
Far Rockaway, NY 11691
Phone (718) 407-7300

257 Beach 17th St
Far Rockaway, NY 11691
Phone (718) 750-8586

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Meir Brody
Title
Ceo
Phone
(718) 407-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 000000 NY Primary

Addresses

Primary practice location

1010 McDonald Ave
Brooklyn, NY 11230-1010

Mailing address

1010 McDonald Ave
Brooklyn, NY 11230-1010
Phone (718) 407-7300

Other practice location 1

620 Foster Ave Ste 200
Premium Health Inc
Brooklyn, NY 11230-1389
Phone (718) 407-7300

Other practice location 2

212 Beach 13th Street, Suite 301
Premium Health Inc
Far Rockaway, NY 11691-5614
Phone (718) 407-7300

Other practice location 3

4406 12th Ave
Premium Health Inc
Brooklyn, NY 11219-1094
Phone (718) 438-4400

Other practice location 4

5506 15th Ave
Premium Health Inc
Brooklyn, NY 11219-4311
Phone (718) 407-7301

Other practice location 5

4514 16th Ave
Premium Health Inc
Brooklyn, NY 11204-1101
Phone (718) 407-7300

Other practice location 6

1212 Seagirt Boulevard
Premium Health Inc
Far Rockaway, NY 11691
Phone (718) 407-7300

Other practice location 7

5323 18th Ave
Brooklyn, NY 11204-1523
Phone (718) 438-4400

Other practice location 8

257 Beach 17th St
Premium Health -Yeshiva Darchei Torah-SBHC
Far Rockaway, NY 11691-4433
Phone (718) 750-8586

Other practice location 9

4424-4426 18th Ave
Brooklyn, NY 11204
Phone (718) 854-0001

Other practice location 10

4426 18th Ave
Brooklyn, NY 11204-1201
Phone (718) 854-0001

Other identifiers 1

IdentifierTypeStateIssuer
03824577MedicaidNY

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1609129402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301010",
            "telephone_number": "718-407-7300",
            "fax_number": "718-859-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301010",
            "telephone_number": "718-407-7300",
            "fax_number": "718-859-5047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 Foster Ave Ste 200",
            "address_2": "Premium Health Inc",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112301389",
            "country_code": "US",
            "telephone_number": "718-407-7300",
            "fax_number": "718-859-5717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "212 Beach 13th Street, Suite 301",
            "address_2": "Premium Health Inc",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116915614",
            "country_code": "US",
            "telephone_number": "718-407-7300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4406 12th Ave",
            "address_2": "Premium Health Inc",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112191094",
            "country_code": "US",
            "telephone_number": "718-438-4400",
            "fax_number": "718-438-4404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5506 15th Ave",
            "address_2": "Premium Health Inc",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112194311",
            "country_code": "US",
            "telephone_number": "718-407-7301",
            "fax_number": "718-676-1811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4514 16th Ave",
            "address_2": "Premium Health Inc",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112041101",
            "country_code": "US",
            "telephone_number": "718-407-7300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1212 Seagirt Boulevard",
            "address_2": "Premium Health Inc",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "11691",
            "country_code": "US",
            "telephone_number": "718-407-7300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5323 18th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112041523",
            "country_code": "US",
            "telephone_number": "718-438-4400",
            "fax_number": "718-438-4404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "257 Beach 17th St",
            "address_2": "Premium Health -Yeshiva Darchei Torah-SBHC",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116914433",
            "country_code": "US",
            "telephone_number": "718-750-8586",
            "fax_number": "718-859-5047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4424-4426 18th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11204",
            "country_code": "US",
            "telephone_number": "718-854-0001",
            "fax_number": "888-530-3797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4426 18th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112041201",
            "country_code": "US",
            "telephone_number": "718-854-0001",
            "fax_number": "888-530-3797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIUM HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "BRODY",
        "authorized_official_first_name": "MEIR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-407-7300"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NY",
            "license": "000000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03824577",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.