Premier Physicians of New York PLLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

PREMIER PHYSICIANS OF NEW YORK PLLC

Practice address

205 E 78TH St
New York, NY 10075-1243

Phone

(212) 737-2330

Fax

(212) 737-4823

NPI assigned

Nov 2, 2012

Organization subpart

No

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

Authorized official

Name

Mitchell D Terk, MD

Title

Director

Phone

(904) 309-8680

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1861746513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S",
            "address_2": "SUITE 805",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164252",
            "telephone_number": "904-309-8680",
            "fax_number": "904-345-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E 78TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751243",
            "telephone_number": "212-737-2330",
            "fax_number": "212-737-4823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHYSICIANS OF NEW YORK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-02",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "TERK",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "904-309-8680",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Physicians of New York PLLC
• Premier Physicians of New York PLLC
• Premier Physicians of New York PLLC
• Premier Physicians of New York PLLC
• Premier Physicians of New York PLLC
• Premier Renal Care, P.C.
• Beth Aviva Preminger, M.D., MPH
• Fabia Preminger
• Jonathan Preminger
• Premire Physicians of New York PLLC

• Urology Physician in New York, NY
• Providers in New York, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.