Premier Internal Medicine Associates PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

207334 Issued in NY

Legal business name

PREMIER INTERNAL MEDICINE ASSOCIATES PC

Practice address

444 Huguenot Avenue
Ste a
Staten Island, NY 10312-1119

Phone

(718) 948-3474

Fax

(718) 948-3446

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Kanwardeep S Aiden, M.DNPI 1336109875

Title

Owner

Phone

(718) 948-3474

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kanwardeep Singh Aiden, MD

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1336109875
  Medicare reassignment Authorized official
• Caitlin Gonzalo, MS, RN, FNP-BC

  • Family Nurse Practitioner
  • Staten Island, NY
  • NPI 1538855440
  NPD (past)
• Nila Patel, MD

  • Pediatrics Physician
  • Staten Island, NY
  • NPI 1255391207
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1700914959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 HUGUENOT AVENUE",
            "address_2": "STE A",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103121119",
            "telephone_number": "718-948-3474",
            "fax_number": "718-948-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 HUGUENOT AVENUE",
            "address_2": "STE A",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103121119",
            "telephone_number": "718-948-3474",
            "fax_number": "718-948-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER INTERNAL MEDICINE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "AIDEN",
        "authorized_official_first_name": "KANWARDEEP",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-948-3474",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "207334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree Pravato
• Pre-Care Speech Language Pathology PC.
• Precious Movements Physical Therapy, P.C.
• Precision Health Inc
• Precision Health Inc
• Premier Medical, PLLC
• Premier Neuromed Services PC
• Premier Pediatrics of New York, PC
• Jennifer Premus
• Michael Anthony Premus, RPH

• Internal Medicine Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.