Premier Health Associates, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PREMIER HEALTH ASSOCIATES, LLC

Practice address

532 Lafayette Rd
Suite 200
Sparta, NJ 07871

Phone

(973) 300-1248

Fax

(973) 579-5267

NPI assigned

Oct 5, 2007

Last updated

Nov 12, 2014By 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 A Bollard, DONPI 1831185768

Title

President

Phone

(973) 940-0423

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Premier Health Associates LLC

  • Internal Medicine Physician
  • Newton, NJ
  • NPI 1043257991

  0840283008

  Same PAC ID

Listed as

Premier Health Associates LLCCCN 31C0001211

Medicare certification status

ActiveFrom the Provider of Services file

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 HLTH Assocs LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Premier Health Associates, LLC

  • Clinic/Center
  • Succasunna, NJ
  • NPI 1346113628
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Sparta Medical Associates, P.a.

  • Family Medicine Physician
  • Sparta, NJ
  • NPI 1710970363

  Member Of

  NPD member

Locations

Interoperability endpoints

• Direct secure messaging: anthonydepaola@premiernj.allscriptsdirect.net
• Direct secure messaging: aradhanaaggarwal@premiernj.allscriptsdirect.net
• Direct secure messaging: caitlinshea@premiernj.allscriptsdirect.net
• Direct secure messaging: cindywassef@premiernj.allscriptsdirect.net
• Direct secure messaging: darylkim@premiernj.allscriptsdirect.net
• Direct secure messaging: davidbollard@premiernj.allscriptsdirect.net
• Direct secure messaging: davidyoussef@premiernj.allscriptsdirect.net
• Direct secure messaging: erichansen@premiernj.allscriptsdirect.net
• Direct secure messaging: ericmurch@premiernj.allscriptsdirect.net
• Direct secure messaging: frankcasella@premiernj.allscriptsdirect.net
• Direct secure messaging: geralynponzio@premiernj.allscriptsdirect.net
• Direct secure messaging: glenbradish@premiernj.allscriptsdirect.net
• Direct secure messaging: gloriacanizales@premiernj.allscriptsdirect.net
• Direct secure messaging: haroonsarwar@premiernj.allscriptsdirect.net
• Direct secure messaging: jasongreen@premiernj.allscriptsdirect.net
• Direct secure messaging: jesusvergara@premiernj.allscriptsdirect.net
• Direct secure messaging: josephcasella@premiernj.allscriptsdirect.net
• Direct secure messaging: kennethroffe@premiernj.allscriptsdirect.net
• Direct secure messaging: kiranrao@premiernj.allscriptsdirect.net
• Direct secure messaging: madisonlacken@premiernj.allscriptsdirect.net

Practitioners 44

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.

• David A Bollard, DO

  • Family Medicine Physician
  • Sparta, NJ
  • NPI 1831185768
  NPD Authorized official
• Aradhana Aggarwal

  • Internal Medicine Physician
  • Newton, NJ
  • NPI 1003160623
  NPD
• Timothy Blackwell, DO

  • Dermatology Physician
  • Newton, NJ
  • NPI 1699356782
  NPD
• Gloria M Canizales, D.O.

  • Family Medicine Physician
  • Hamburg, NJ
  • NPI 1295173185
  NPD
• Frank Joseph Casella, D.O.

  • Internal Medicine Physician
  • Sparta, NJ
  • NPI 1306888912
  NPD
• Joseph J Casella, DO

  • Family Medicine Physician
  • Andover, NJ
  • NPI 1891781514
  NPD
• Anuja Parikh Chaudhari, D.O.

  • Internal Medicine Physician
  • Newton, NJ
  • NPI 1477743920
  NPD
• Cindy Codispoti, D.O.

  • Cardiovascular Disease Physician
  • Hackettstown, NJ
  • NPI 1366414427
  NPD
• Nick Paul Debitetto, D.O.

  • Internal Medicine Physician
  • Newton, NJ
  • NPI 1083692933
  NPD
• Thomas J Degasperis, DC

  • Chiropractor
  • Newton, NJ
  • NPI 1316933278
  NPD
• Anthony A Depaola, DO

  • Internal Medicine Physician
  • Branchville, NJ
  • NPI 1194711028
  NPD
• Walter R Grote, DO

  • Internal Medicine Physician
  • Sparta, NJ
  • NPI 1811983745
  NPD

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1881882785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 LAFAYETTE RD",
            "address_2": "SUITE 300",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "07871",
            "telephone_number": "973-940-0423",
            "fax_number": "973-940-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 LAFAYETTE RD",
            "address_2": "SUITE 200",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "07871",
            "telephone_number": "973-300-1248",
            "fax_number": "973-579-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "BOLLARD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-940-0423",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn M Poli, D.M.D.
• Jeanette Marie Porter, PHYSICIAN ASSISTANT
• Maryann Lane Porter, MSW, LCSW
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• Clinic/Center in Sparta, NJ
• Providers in Sparta, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.