Premier Neuromonitoring LLC

Primary specialty

Diagnostic Neuroimaging (Psychiatry & Neurology) PhysicianTaxonomy code 2084D0003X

Legal business name

PREMIER NEUROMONITORING LLC

Practice address

999 Clifton Ave FL 2
Clifton, NJ 07013-2711

Phone

(973) 354-2484

NPI assigned

Oct 6, 2023

Last updated

Oct 6, 2023By 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

David Delvecchio

Title

Coo

Phone

(888) 302-4007

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1730960717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 CLIFTON AVE FL 2",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 CLIFTON AVE FL 2",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132711",
            "telephone_number": "973-354-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER NEUROMONITORING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "DELVECCHIO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "888-302-4007"
    },
    "taxonomies": [
        {
            "code": "2084D0003X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Neuroimaging (Psychiatry & Neurology) Physician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Diagnostic Neuroimaging (Psychiatry & Neurology) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.