PREMIER MEDICAL AND SPORTS REHABILITATION LLC (NPI# 1275857427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275857427 |
| Entity Type | Organization |
| Organization Name | PREMIER MEDICAL AND SPORTS REHABILITATION LLC |
| Practice Address |
121 Main St Princeton NJ 08540-5755 |
| Mailing Address |
Po Box 510 Chatham NJ 07928-0510 |
| Practice Telephone | 9737139712 |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2010-03-25 |
| Authorized Official Name | RICK A DEBIASI (PRESIDENT) |
| Authorized Official Telephone | 9737139712 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
47709 | NJ | Allopathic & Osteopathic Physicians |
| N | 213E00000X | Podiatrist | 25MD002672 | NJ | Podiatric Medicine & Surgery Service Providers |
| N | 225100000X | Physical Therapist | 4DQA00915800 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 111N00000X | Chiropractor | 38MC004002800 | NJ | Chiropractic Providers |
| Street Address |
121 MAIN ST |
| City | PRINCETON |
| State | NJ |
| Zip Code | 08540-5755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497125686 | Lauren Molinelli | Physical Therapist | 121 Main St, Forrestal Village Fitness-jag Physical Therapy, Princeton, NJ 08540-5755 | 2015-09-30 |
| 1548660285 | Jamie Hricay | Specialist/Technologist | 121 Main St, Princeton, NJ 08540-5755 | 2014-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420613 | Samantha Beatriz Manzano | Pharmacist | 301 N Harrison Street, Princeton, NJ 08540 | 2020-09-01 |
| 1306485768 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1124667589 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1215576673 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 416 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1508405929 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 411 Freedom Blvd, Princeton, NJ 08540 | 2020-01-02 |
| 1992369698 | Suzanne Haggerty | Social Worker | 716 Executive Drive, Princeton, NJ 08540 | 2019-04-28 |
| 1700349552 | Pdp Associates LLC | Social Worker | 3490 Us Highway 1, Building 16 Suite 112, Princeton, NJ 08540 | 2019-04-09 |
| 1245722438 | Kyle Bonner | Social Worker | 166 Bunn Dr Ste 105, Princeton, NJ 08540 | 2018-06-04 |
| 1942700125 | Lifetouch Behavioral Health, LLC | Community/Behavioral Health | 112 Commons Way, Building 1, Suite 112, Princeton, NJ 08540 | 2018-02-14 |
| 1912407271 | Princeton Psychiatry & Consulting, LLC | Psychiatry & Neurology | 601 Ewing St, Suite C-10, Princeton, NJ 08540 | 2018-02-13 |
| Find all providers in zip 08540 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225373103 | Princeton Family Chiropractic | Chiropractor | 66 Mount Lucas Rd, Suite E2, Princeton, NJ 08540-2733 | 2012-12-04 |
| 1932488178 | Kelli Mann | Chiropractor | 902 Stafford Dr., Princeton, WV 24740 | 2011-08-05 |
| 1083929582 | Princeton Natural Health Care Associates | Chiropractor | 204 N Harrison St Fl 1, Princeton, NJ 08540-3507 | 2010-08-10 |
| 1871755694 | Lonnie L Edwards | Chiropractor | 1288n State Rd 65, Princeton, IN 47670-9515 | 2008-07-02 |
| 1346415312 | David Carl Maffei | Chiropractor | 3640 Lawrenceville Road, Princeton, NJ 08540 | 2008-04-29 |
| 1124203443 | Paul Family Chiropractic, PC | Chiropractor | 1 Airport Pl, Suite # 4, Princeton, NJ 08540-1532 | 2008-01-05 |
| 1740461490 | Back2health-princeton, LLC | Chiropractor | 107 N 1st Ave, Princeton, IN 47670-1061 | 2007-11-23 |
| 1851505010 | Lounsbury Chiropractic Office Inc | Chiropractor | 1307 Mercer St, Princeton, WV 24740 | 2007-05-09 |
| 1073733465 | Jarred Allen Farrell | Chiropractor | 682 East Peru Street, Princeton, IL 61356 | 2007-04-26 |
| 1871615278 | Joseph Marc Paul | Chiropractor | 1 Airport Pl Ste 4, Princeton, NJ 08540-1532 | 2007-04-04 |
| Find all providers in PRINCETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.