PREMIUM HEALTH, INC. (NPI# 1609129402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609129402 |
| Entity Type | Organization |
| Organization Name | PREMIUM HEALTH, INC. |
| Practice Address |
620 Foster Ave Ste 200 Premium Health, Inc. Brooklyn NY 11230-1399 |
| Mailing Address |
620 Foster Ave Premium Health, Inc. Brooklyn NY 11230-1399 |
| Practice Telephone | 7184077300 |
| Practice Fax Number | 7188595717 |
| Mailing Telephone | 7184077300 |
| Mailing Fax Number | 7188595717 |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2013-12-12 |
| Authorized Official Name | CAROL DOOLEY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7184077300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
000000 | NY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104274745 | Premium Health, Inc. | Clinic/Center | 5506 15th Ave, Brooklyn, NY 11219-4301 | 2016-05-24 |
| 1104256528 | Premium Health, Inc. | Clinic/Center | 7235 Coral Way, Suite 205, Miami, FL 33155-1466 | 2013-11-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PREMIUM HEALTH, INC. | 620 Foster Ave Ste 200, Brooklyn, NY 11230-1399 |
| Street Address |
620 FOSTER AVE STE 200 PREMIUM HEALTH, INC. |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11230-1399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174049522 | Esther Shaindel Bondi | Social Worker | 620 Foster Ave Ste 200, Brooklyn, NY 11230-1399 | 2017-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891392940 | Dr Omolola Omishore Pt, P.C. | Physical Therapist | 1138 Ocean Ave Apt 6i, Brooklyn, NY 11230 | 2020-10-01 |
| 1902411531 | Limelite Recovery Inc. | Durable Medical Equipment & Medical Supplies | 1599 E 15th St 5th Fl. Ste B, Brooklyn, NY 11230 | 2020-09-10 |
| 1861054793 | Morris Kiss | Case Manager/Care Coordinator | 1851 Coney Island Ave., Brooklyn, NY 11230 | 2019-07-01 |
| 1679047062 | Katherine Michelle Moreno | Social Worker | 1309 -1311 Foster Ave, Brooklyn, NY 11230 | 2019-01-18 |
| 1295229987 | Alexander Kuravsky | Specialist | 890 E. 14th St Apt A2, Brooklyn, NY 11230 | 2018-06-18 |
| 1740787308 | Madelaine Paula Wolfond | Social Worker | 1309-1311 Foster Ave., Brooklyn, NY 11230 | 2018-04-10 |
| 1245746288 | Nora Salaheldin Ahmed I | Physical Therapist | 1440 Ocean Parkway,4k, Brooklyn, NY 11230 | 2017-12-27 |
| 1124539192 | Victoria Zavalunova | Case Manager/Care Coordinator | 716 Ocean Pkwy Apt 6c, Brooklyn, NY 11230 | 2017-10-18 |
| 1841717576 | John Philip Gaac | Physical Therapist | 954 E 15th St Apt 3c, Brooklyn, NY 11230 | 2017-08-23 |
| 1134641707 | Brenda E Leibowitz | Speech-Language Pathologist | 864 East 13th Street, Brooklyn, NY 11230 | 2017-07-14 |
| Find all providers in zip 11230 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962040246 | Community Health Project Inc. | Clinic/Center | 40 Flatbush Avenue Extension, Brooklyn, NY 11201 | 2019-12-17 |
| 1245886753 | Care for The Homeless | Clinic/Center | 91 Junius St, Brooklyn, NY 11212-8021 | 2019-08-12 |
| 1184186496 | Oda Primary Health Care Network, Inc. | Clinic/Center | 74 Wallabout Street, Brooklyn, NY 11249 | 2019-04-04 |
| 1932682838 | Hudson River Healthcare, Inc. | Clinic/Center | 2400 Linden Boulevard, Brightpoint Health Part 822-4 Outpatient Services, Brooklyn, NY 11208-4830 | 2018-09-07 |
| 1407363559 | Southeast Mississippi Rural Health Initiative, Inc. | Clinic/Center | 215 Old Highway 49 E, Brooklyn, MS 39425-9028 | 2018-01-10 |
| 1568910545 | Oda Primary Health Care Network, Inc. | Clinic/Center | 329 Hewes St, Brooklyn, NY 11211-7474 | 2016-09-19 |
| 1104274745 | Premium Health, Inc. | Clinic/Center | 5506 15th Ave, Brooklyn, NY 11219-4301 | 2016-05-24 |
| 1477909349 | Damian Family Care Centers, Inc. | Clinic/Center | 599 Ralph Ave, Brooklyn, NY 11233 | 2016-05-10 |
| 1619366978 | Brooklyn Plaza Medical Center, Inc | Clinic/Center | 297 Myrtle Ave, Brooklyn, NY 11205-2901 | 2015-01-09 |
| 1730592403 | The Floating Hospital Inc. | Clinic/Center | 515 Blake Ave, Brooklyn, NY 11207-4502 | 2014-06-10 |
| Find all providers in BROOKLYN | ||||
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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.