Active NPI
Premium Health Inc
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
On this page
- Key facts
- Owners & managing parties with NPI records2
- Other NPIs with the same Medicare PAC ID2
- Practitioners106
- Laboratory certificates & supplier records
- Medicare participation
- All disclosed owners & managing parties15
- National Provider Directory
- NPPES NPI Registry
- Other providers in Brooklyn, NY
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- License
- 000000
- 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.
-
- Community/Retail Pharmacy
- Brooklyn, NY
- NPI 1083227235
Operational/Managerial Control
-
- Community/Retail Pharmacy
- Far Rockaway, NY
- NPI 1598504417
Operational/Managerial Control
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.
-
- Student in an Organized Health Care Education/Training Program
- Great Neck, NY
- NPI 1972043123
NY
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2153301 | Premium Health Center | Provider-performed microscopy | Mar 26, 2027 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 8
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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
- Corporation
- 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
- Corporation
- 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
- Corporation
- 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
- Corporation
- 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
- Corporation
- 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
- Corporation
- Enrollment address
- 1212 Seagirt Boulevard FL 3
Far Rockaway, NY 11691-5614
All disclosed owners & managing parties 15
Medicare enrollment filesAs disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Galina Hoolin | W-2 Managing Employee | Jun 19, 2019 | 100% |
| W-2 Managing Employee | Aug 19, 2017 | 100% | |
| Shiya Ostreicher | Corporate Officer | Jul 10, 2012 | 100% |
| Corporate Officer | Jul 10, 2012 | 100% | |
| Chaim Pinter | Corporate Officer | Jul 10, 2012 | 100% |
| Corporate Officer | Jul 10, 2012 | 100% | |
| Corporate Officer | Jun 6, 2025 | 100% | |
| Shmeal Wieder | Corporate Officer | Jul 10, 2012 | 100% |
| Corporate Officer | Jun 6, 2025 | 100% | |
| Esther Bernstein | Corporate Officer | Jul 1, 2012 | 100% |
| Corporate Officer | Jul 10, 2012 | 100% | |
| Corporate Officer | Jul 10, 2012 | ||
| Corporate Officer | Jul 10, 2012 | 100% | |
| Corporate Officer | Jun 6, 2025 | 100% | |
| Elky Miller | Corporate Officer | Jul 10, 2012 | 100% |
| Corporate Officer | Jun 6, 2025 | 100% | |
| Chaim Steinmetz | Corporate Officer | Jul 10, 2012 | 100% |
| Corporate Officer | Jul 10, 2012 | 100% | |
| Corporate Officer | Jul 10, 2012 | 100% | |
| Corporate Officer | Jul 10, 2012 | 100% | |
| Corporate Officer | Jun 6, 2025 | 100% | |
| Avi Stern | Corporate Officer | Jul 10, 2012 | 100% |
| Corporate Officer | Jul 10, 2012 | ||
| Corporate Officer | Jun 6, 2025 | 100% | |
| Alexander Ornstein | Corporate Officer | Jul 10, 2012 | 100% |
| Corporate Officer | Jul 10, 2012 | 100% | |
| Corporate Officer | Jul 10, 2012 | 100% | |
| Corporate Officer | Jul 10, 2012 | 100% | |
| Corporate Officer | Jul 10, 2012 | ||
| Corporate Officer | Jun 6, 2025 | 100% | |
| Meir Brody | W-2 Managing Employee | Jun 19, 2019 | 100% |
| W-2 Managing Employee | Dec 1, 2013 | 100% | |
| Corporate Director | Dec 1, 2013 | 100% | |
| W-2 Managing Employee | Dec 1, 2013 | 100% | |
| W-2 Managing Employee | Dec 1, 2013 | 100% | |
| Corporate Director | Dec 12, 2013 | 100% | |
| W-2 Managing Employee | Dec 12, 2013 | 100% | |
| Corporate Director | Dec 12, 2013 | ||
| Corporate Director | Jun 6, 2025 | 100% | |
| W-2 Managing Employee | Jun 6, 2025 | 100% | |
| Mark Stanley Weinstock | Corporate Officer | Jul 10, 2012 | 100% |
| Corporate Officer | Jun 6, 2025 | 100% | |
| Naomi Wagschal | W-2 Managing Employee | Jan 1, 2023 | |
| W-2 Managing Employee | Sep 13, 2016 | 100% | |
| W-2 Managing Employee | Sep 12, 2016 | 100% | |
| Operational/Managerial Control | Jun 6, 2025 | 100% | |
| Zisel Krausz | Corporate Officer | Apr 3, 2024 | 100% |
| Corporate Officer | Mar 1, 2024 | 100% | |
| Corporate Officer | Sep 1, 2024 | 100% | |
| Corporate Officer | Sep 1, 2024 | ||
| Corporate Officer | Jun 6, 2025 | 100% | |
| Malky Friedman | Corporate Officer | Apr 3, 2024 | 100% |
| Corporate Officer | Jun 6, 2025 | 100% | |
| Premium Health, Inc. | Operational/Managerial Control | Apr 20, 2010 | 100% |
| Operational/Managerial Control | Jun 6, 2025 | 100% |
National Provider Directory
National Provider DirectoryMember 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03824577 | Medicaid | NY |
NPI Registry JSON
{
"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
- 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.