Premiere Medical Group Associates

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA09551100 Issued in NJ

Legal business name

PREMIERE MEDICAL GROUP ASSOCIATES

Practice address

546 14TH Ave
Paterson, NJ 07504-2206

Phone

(201) 794-4500

NPI assigned

Jan 8, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Roth Riley, MD

Title

Director

Phone

(201) 794-4500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darrell Corben, M.D.

  • Sports Medicine (Internal Medicine) Physician
  • Sunnyvale, CA
  • NPI 1912952276
  NPD (past)

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515369600000",
    "number": "1902313315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 14TH AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075042206",
            "telephone_number": "201-794-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 14TH AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075042206",
            "telephone_number": "201-794-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE MEDICAL GROUP ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "ROTH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "201-794-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA09551100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sina Pourtaheri, M.D.
• Vijaya Prasad, M,.D.
• PRC Supplies Inc
• Premier Brain and Spine, LLC
• Premier RX LLC
• Premium Home Health Care Inc
• Preparing Adoloscents & Adults Ideologies Now
• Preventive Measures of New Jersey
• Pristine Home Health Care
• Pristine Home Health Care

• Family Medicine Physician in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.