Premier Diagnostics LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PREMIER DIAGNOSTICS LLC

Practice address

395 Pearsall Ave
Cedarhurst, NY 11516-1828

Phone

(516) 612-4884

Fax

(516) 612-4883

NPI assigned

Oct 27, 2011

Organization subpart

No

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

Authorized official

Name

Josh Greenbaum

Title

Member

Phone

(516) 612-4884

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1689950164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 PEARSALL AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161828",
            "telephone_number": "516-612-4884",
            "fax_number": "516-612-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 PEARSALL AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161828",
            "telephone_number": "516-612-4884",
            "fax_number": "516-612-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "GREENBAUM",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "516-612-4884"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thuy-Trang Pham, DPM
• Angela A Plischtejew, PFMHNP
• Plum Podiatry PC
• Evan Barry Pockriss, MD
• Miriam L Porush, PA-C
• Joel Michael Preminger, D.M.D.
• Professional Occupational & Physical Therapy, PLLC
• Ginai Leslie Prosper, LMHC
• Helen Pultman, MA/CCCSLP
• Ilana Pultman, M.A.CCC-SLP

• Clinic/Center in Cedarhurst, NY
• Providers in Cedarhurst, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.