Premise Health of Delaware Medical, P.a.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PREMISE HEALTH OF DELAWARE MEDICAL, P.A.

Practice address

587 Old Baltimore Pike
Newark, DE 19702-1307

Phone

(302) 286-4012

Fax

(302) 286-3248

NPI assigned

Apr 26, 2011

Organization subpart

No

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

Authorized official

Name

Jon Leizman, MD

Title

President

Phone

(216) 479-9063

Specialties & licenses 1

Addresses

Other names 1

• AstraZeneca Health & Well Being Center Doing business as

Tax ID family

Astrazeneca Health Well Being Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

• Premise Health of Delaware Medical PA

  • Multi-Specialty Clinic/Center
  • Newark, DE
  • NPI 1083596571
  NPD tax ID
• Premise Health of Delaware Medical PA

  • General Practice Physician
  • Wilmington, DE
  • NPI 1093159220
  NPD tax ID
• Premise Health of Delaware Medical PA

  • Clinic/Center
  • Selbyville, DE
  • NPI 1205236882
  NPD tax ID
• Premise Health of Delaware Medical PA

  • Primary Care Clinic/Center
  • Wilmington, DE
  • NPI 1568808376
  NPD tax ID
• Premise Health of Delaware Medical PA

  • Clinic/Center
  • Millsboro, DE
  • NPI 1588103386
  NPD tax ID

Locations

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1992096978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16906 COLLECTION CENTER DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606931307",
            "telephone_number": "302-286-4012",
            "fax_number": "302-286-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 OLD BALTIMORE PIKE",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197021307",
            "telephone_number": "302-286-4012",
            "fax_number": "302-286-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMISE HEALTH OF DELAWARE MEDICAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "LEIZMAN",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-479-9063",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AstraZeneca Health & Well Being Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AstraZeneca Health & Well Being Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premier Medical Associates
• Premier Medical Associates, LLC
• Premier Pediatrics, LLC
• Premiere Physicians P.a.
• Premise Health of Delaware Medical PA
• Jordan Nari Pressley, PA-C
• Hailey Jordan Prestash, DPT
• Leigh K Preston, PA-C
• Jennifer Pretel
• Ananda M Price

• Primary Care Clinic/Center in Newark, DE
• Providers in Newark, DE by specialty
• Primary Care Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.