Premium Health Inc

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

Last updated

Sep 4, 2026By 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

Meir Brody

Title

Ceo

Phone

(718) 407-7300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY8 enrollments

Enrollment records 8

NPI to CCN mapping 7

The Medicare certification numbers (CCNs) connected to NPI 1609129402. Details of each certification follow.

• CCN 331083 Federally qualified health center · Active · Details
• CCN 571008 Federally qualified health center · Active · Details
• CCN 571184 Federally qualified health center · Active · Details
• CCN 571881 Federally qualified health center · Active · Details
• CCN 571888 Federally qualified health center · Active · Details
• CCN 571885 Federally qualified health center · Active · Details
• CCN 571938 Federally qualified health center · Active · Details

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

Other NPIs with the same Medicare PAC ID 2

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

• Premium Health Inc

  dba Premium Rx

  • Community/Retail Pharmacy
  • Brooklyn, NY
  • NPI 1083227235

  4981830023

  Same PAC ID
• Premium Health Inc

  dba Premium Rx

  • Community/Retail Pharmacy
  • Far Rockaway, NY
  • NPI 1598504417

  4981830023

  Same PAC ID

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 15

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

Owners & managing parties with NPI records 2

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

• Premium Health Inc

  dba Premium Rx

  • Community/Retail Pharmacy
  • Brooklyn, NY
  • NPI 1083227235

  Operational/Managerial Control

  CMS ownership
• Premium Health Inc

  dba Premium Rx

  • Community/Retail Pharmacy
  • Far Rockaway, NY
  • NPI 1598504417

  Operational/Managerial Control

  CMS ownership

Practitioners 107

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.

• Michelle Arms, MD

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
  • NPI 1639631476
  Medicare reassignment NPD
• Esther Shaindel Bondi, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1174049522
  Medicare reassignment NPD
• Tova Chein, D.O

  • Pediatrics Physician
  • Stony Brook, NY
  • NPI 1790130680
  Medicare reassignment NPD
• Steven Diamond, M.D.

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1730400821
  Medicare reassignment NPD
• Fredy Friedman, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1295797686
  Medicare reassignment NPD
• Nathan Greenfeld

  • Social Worker
  • Brooklyn, NY
  • NPI 1073986964
  Medicare reassignment NPD
• Jacqueline Guterman, MD, PHD

  • Obstetrics & Gynecology Physician
  • Staten Island, NY
  • NPI 1225371354
  Medicare reassignment NPD
• Joshua A Halpern, MD

  • Urology Physician
  • New York, NY
  • NPI 1699034546
  Medicare reassignment NPD
• Eli Inzlicht-Sprei, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1275586687
  Medicare reassignment NPD
• Rachel Stephanie Kashan, M.A.

  • Student in an Organized Health Care Education/Training Program
  • Great Neck, NY
  • NPI 1972043123
  Medicare reassignment NPD
• Alla Khamermesh, CNM, WHNP

  • Women's Health Nurse Practitioner
  • New York, NY
  • NPI 1306134051
  Medicare reassignment NPD
• David Marc Klein, M.D.

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1790787653
  Medicare reassignment NPD

The complete NPPES 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": "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": "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": "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": "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": "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": "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": "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": "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": "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": []
}

• Ben Israel Preminger, MD
• Laurie Premisler, LCSW
• Premium Diagnostic Imaging PC
• Premium Health Inc (Premium Rx)
• Premium Health Inc (Premium Rx)
• Premium Home Services LLC
• Premium Therapeutics
• Alexandra Claire Prempin
• Prendamano Speech Therapy
• Tsitsino Prendamano, MS/TSSLD

• Federally Qualified Health Center (FQHC) in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Federally Qualified Health Center (FQHC) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.