Premier Orthopedics & Sports Medicine

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PREMIER ORTHOPEDICS & SPORTS MEDICINE

Practice address

2705 Williamsbridge Rd
Bronx, NY 10469-4109

Phone

(718) 515-9800

Fax

(718) 231-7942

NPI assigned

Mar 25, 2007

Last updated

Aug 22, 2020By 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

Meena Bansal

Title

President

Phone

(718) 515-9800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629195417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 WILLIAMSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104694109",
            "telephone_number": "718-515-9800",
            "fax_number": "718-231-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 WILLIAMSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104694109",
            "telephone_number": "718-515-9800",
            "fax_number": "718-231-7942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ORTHOPEDICS & SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BANSAL",
        "authorized_official_first_name": "MEENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-515-9800"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Family Dentistry PLLC (Premier Family Dentistry)
• Premier HME Health Care
• Premier Medical Associate PC
• Premier Medical Supply Co.
• Premier Oral Surgery, PLLC
• Premium Braces LLC
• Premium Bronx Corp
• Mabel Prempeh
• Monica Prempeh
• Colin Martin Prendergast I

• Specialist in Bronx, NY
• Providers in Bronx, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.