Premier Health Services, Inc.

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

7001287R Issued in NY

Legal business name

PREMIER HEALTH SERVICES, INC.

Practice address

430 Beach 68TH St
Dialysis Unit
Arverne, NY 11692-1407

Phone

(718) 474-0357

Fax

(718) 474-1948

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Helen Tenenbaum Sieger

Title

Ceo

Phone

(718) 796-8100

Specialties & licenses 1

Addresses

Other names 1

• POLA TENENBAUM CENTER FOR RENAL CARE Other name

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972630283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 BEACH 68TH ST",
            "address_2": "DIALYSIS UNIT",
            "city": "ARVERNE",
            "state": "NY",
            "postal_code": "116921407",
            "telephone_number": "718-474-0357",
            "fax_number": "718-474-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 BEACH 68TH ST",
            "address_2": "DIALYSIS UNIT",
            "city": "ARVERNE",
            "state": "NY",
            "postal_code": "116921407",
            "telephone_number": "718-474-0357",
            "fax_number": "718-474-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIEGER",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "TENENBAUM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-796-8100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NY",
            "license": "7001287R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POLA TENENBAUM CENTER FOR RENAL CARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brannan Mary Piper, M.S.W., L.C.S.W.
• Terricka Pontoon
• Afolabi Poroye, FNP-BC
• Staci Ann Powell, LPN
• Susan Poyker
• Erica T Probherbs, RN
• R & I RX Center, Inc.
• Eunice Ramirez, BIL TSHH
• Laura Ashley Ramkissoon
• Hamid Rassekhi, DDS

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Arverne, NY
• Providers in Arverne, NY by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.