Premier Medical Associates

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SW00969100 Issued in NJ

Legal business name

PREMIER MEDICAL ASSOCIATES

Practice address

231 Crosswicks Rd
Suite 11
Bordentown, NJ 08505-2602

Phone

(609) 298-7204

NPI assigned

Mar 7, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Michele Migliaccio

Title

Manager

Phone

(813) 539-1543

Specialties & licenses 2

Addresses

Tax ID family

Premier Medical Associates2 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 Medicine Associates PA

  • Internal Medicine Physician
  • Columbus, NJ
  • NPI 1669712006
  NPD tax ID

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1942740097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 CROSSWICKS RD",
            "address_2": "SUITE 11",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052602",
            "telephone_number": "609-298-7204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 CROSSWICKS RD",
            "address_2": "SUITE 11",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052602",
            "telephone_number": "609-298-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "MIGLIACCIO",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-539-1543",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SW00969100",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SW00969100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Anne Petty, PT, DPT
• Paul John Pigoncelli, MA. LPC.
• Veronica Furigay Pomasin, APN
• Jordyn Pontoriero, APN, FNP-C
• Melanie Ann Powell, DO
• Premier Medicine and Wellness LLC
• Joseph Priolo, LCADC
• Providence Support Services
• Natalie Ralph-Nelson, APN
• Melissa Lillian Rasimowicz, REGISTERED DIETITIAN

• Clinical Social Worker in Bordentown, NJ
• Providers in Bordentown, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.