Beth Aviva Preminger, M.D., MPH

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

234154-1 Issued in NY

Practice address

969 Park Ave # 1E
New York, NY 10028-0322

Phone

(212) 706-1900

NPI assigned

May 18, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2023 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: bpreminger68040@northwell.direct-ci.com
• Direct secure messaging: bpreminger681188@nychhc.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Beth Aviva Preminger, MD PLLC

  • Plastic Surgery Physician
  • New York, NY
  • NPI 1699003335
  NPD (past) Authorized official

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

{
    "created_epoch": "1211068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1922265016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 PARK AVE # 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280322",
            "telephone_number": "212-706-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 PARK AVE # 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280322",
            "telephone_number": "212-706-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREMINGER",
        "first_name": "BETH",
        "middle_name": "AVIVA",
        "name_prefix": "Dr.",
        "credential": "M.D., MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-18",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "234154-1",
            "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 Renal Care, P.C.
• Fabia Preminger
• Jonathan Preminger
• Premire Physicians of New York PLLC
• Premise Health of New York Medical PC
• Premise Health of New York Medical PC

• Plastic Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.