Organization Active NPI

Premier Care Associates of West Hudson

  • Internal Medicine Physician
  • Kearny, NJ
National Provider Identifier
1821048570
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PREMIER CARE ASSOCIATES OF WEST HUDSON
Practice address
512 Kearny Ave Ste B
Kearny, NJ 07032-2703
Phone
(201) 998-7474
NPI assigned
May 11, 2006
Last updated
Jul 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Authorized official

Name
Dr. Prakash J Doshi, M.D.NPI 1790733491
Title
Owner/Director
Phone
(201) 998-7474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

512 Kearny Ave Ste B
Kearny, NJ 07032-2703

Mailing address

512 Kearny Ave Ste B
Kearny, NJ 07032-2703
Phone (201) 998-7474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060619000119 NJ Part B Supplier - Clinic/Group Practice 9133131949 Receives reassigned benefits from 5 practitioners
Practice locations: East Hanover, NJ; Harrison, NJ; Kearny, NJ

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0708059Premier Care Associates of West Hudson512 Kearny Avenue, Kearny, NJ 07032Certificate of waiverAug 29, 2026

National Provider Directory

National Provider Directory

Locations

512 Kearny Ave
Kearny, NJ 07032
Phone (201) 428-2424

512 Kearny Ave
Ste B
Kearny, NJ 07032
Phone (201) 998-7474

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1821048570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 KEARNY AVE STE B",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322703",
            "telephone_number": "201-998-7474",
            "fax_number": "201-998-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 KEARNY AVE STE B",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322703",
            "telephone_number": "201-998-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CARE ASSOCIATES OF WEST HUDSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "DOSHI",
        "authorized_official_first_name": "PRAKASH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "201-998-7474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearny, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.