NPIMap

Organization Active NPI

Premier Medicine Associates PA

  • Internal Medicine Physician
  • Columbus, NJ
National Provider Identifier
1669712006
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07690100 Issued in NJ
Legal business name
PREMIER MEDICINE ASSOCIATES PA
Practice address
30 Belmont Cir
Columbus, NJ 08022-9714
Phone
(856) 465-7728
NPI assigned
Feb 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Authorized official

Name
Prathibha Potharlanka, M.D.
Title
President
Phone
(856) 465-7728

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 25MA07690100 NJ Primary

Addresses

Primary practice location

30 Belmont Cir
Columbus, NJ 08022-9714

Mailing address

30 Belmont Cir
Columbus, NJ 08022-9714
Phone (856) 465-7728

National Provider Directory

National Provider Directory
Tax ID family
Premier Medical Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1669712006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BELMONT CIR",
            "city": "COLUMBUS",
            "state": "NJ",
            "postal_code": "080229714",
            "telephone_number": "856-465-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BELMONT CIR",
            "city": "COLUMBUS",
            "state": "NJ",
            "postal_code": "080229714",
            "telephone_number": "856-465-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICINE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "POTHARLANKA",
        "authorized_official_first_name": "PRATHIBHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-465-7728",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07690100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.