Premier Healthcare, Inc.

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

License

7002154R Issued in NY

Legal business name

PREMIER HEALTHCARE, INC.

Practice address

227 East 41St Street, 8TH Floor
New York, NY 10017-5832

Phone

(212) 273-6272

Fax

(212) 273-6427

NPI assigned

May 20, 2006

Last updated

May 18, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

PREMIER HEALTHCARE, INC.As reported in NPPES

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

Authorized official

Name

Mr. Vlad Kuznetsov, PHD, MBA, PA

Title

Executive Director

Phone

(212) 273-6116

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Premier Healthcare, Inc.

  • Developmental Disabilities Clinic/Center
  • New York, NY
  • NPI 1831330182

  O20040122000144

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Premier Healthcare Inc4 organizations share this tax ID, including this one

Part of

Premier Healthcare Inc

Other organizations with this tax ID 3

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

• Premier Healthcare

  • Specialist
  • Bayside, NY
  • NPI 1023119617
  NPD tax ID
• Premier Healthcare, Inc.

  • Developmental Disabilities Clinic/Center
  • New York, NY
  • NPI 1386888006
  NPD tax ID
• Premier Healthcare, Inc.

  • Developmental Disabilities Clinic/Center
  • New York, NY
  • NPI 1831330182
  NPD tax ID

Locations

Practitioners 211

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Grace Adeola Adepoju, NP IN PSYCHIATRY

  • Psychiatric/Mental Health Nurse Practitioner
  • Guilderland, NY
  • NPI 1922237163
  Medicare reassignment Care Compare group NPD
• Katharina Anger, PH.D.

  • Clinical Psychologist
  • New York, NY
  • NPI 1619909041
  Medicare reassignment Care Compare group NPD
• Philippe K. Z. Bah, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
  • NPI 1174071740
  Medicare reassignment Care Compare group NPD
• Michael Howard Bergen

  • Specialist
  • New York, NY
  • NPI 1083639827
  Medicare reassignment Care Compare group NPD
• Charles Tan Bermejo, OTR/L

  • Occupational Therapist
  • New York, NY
  • NPI 1598469777
  Medicare reassignment Care Compare group NPD
• Carissa Best, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
  • NPI 1225627912
  Medicare reassignment Care Compare group NPD
• Trajko Bojadzievski, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • New York, NY
  • NPI 1669639456
  Medicare reassignment Care Compare group NPD
• Peter Michael Bulow, M.D.

  • Psychiatry Physician
  • New York, NY
  • NPI 1457503211
  Medicare reassignment Care Compare group NPD
• Jennifer Chang

  • Specialist
  • New York, NY
  • NPI 1508881178
  Medicare reassignment Care Compare group NPD
• Jung Mi Chang

  • Family Medicine Physician
  • Bayside, NY
  • NPI 1518982123
  Medicare reassignment Care Compare group NPD
• Jacaranda Chapa, OTR/L

  • Occupational Therapist
  • New York, NY
  • NPI 1841582715
  Medicare reassignment Care Compare group NPD
• Christina Choi, OTR/L

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1316207095
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1760436190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E 42ND ST FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175832",
            "telephone_number": "212-273-6272",
            "fax_number": "212-273-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 EAST 41ST STREET, 8TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175832",
            "telephone_number": "212-273-6272",
            "fax_number": "212-273-6427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Remsen St Fl 4",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112014300",
            "country_code": "US",
            "telephone_number": "212-273-6274",
            "fax_number": "212-273-6427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21111 Northern Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Bayside",
            "state": "NY",
            "postal_code": "113613241",
            "country_code": "US",
            "telephone_number": "212-273-6272",
            "fax_number": "212-273-6427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3060 E Tremont Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104615726",
            "country_code": "US",
            "telephone_number": "212-273-6272",
            "fax_number": "212-273-6427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER HEALTHCARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER HEALTHCARE, INC.",
        "enumeration_date": "2006-05-20",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "KUZNETSOV",
        "authorized_official_first_name": "VLAD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "212-273-6116",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD, MBA, PA"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NY",
            "license": "7002154R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01751000",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula Prejs, PA-C
• Brittany Prell, ED.M., M.A.
• Nancy Prem, MD, MPH
• Premier Counseling & Psychotherapy
• Premier Healthcare, Inc.
• Premier Healthcare, Inc.
• Premier Home Health Care Services Inc
• Premier Home Health Care Services, Inc
• Premier Home Health Care Services, Inc
• Premier Home Health Care Services, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.