PREMIER EDX & WELLNESS (NPI# 1649525296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649525296 |
| Entity Type | Organization |
| Organization Name | PREMIER EDX & WELLNESS |
| Practice Address |
11 Viola Rd Suffern NY 10901-3205 |
| Practice Telephone | 8456411212 |
| Mailing Telephone | 8456411212 |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-07-19 |
| Authorized Official Name | DR. MELINDA LEE MILLER (PRESIDENT) |
| Authorized Official Telephone | 8456411212 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
11 VIOLA RD |
| City | SUFFERN |
| State | NY |
| Zip Code | 10901-3205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895309 | Constance Marie Princiotto | Registered Nurse | J&d Ultracare, 15 Suffern Pl, Suffern, NY 10901 | 2020-09-10 |
| 1376101790 | Tenika Filomena Walters | Licensed Practical Nurse | 15 Suffen Place, Suffen, NY 10901 | 2019-05-31 |
| 1922563261 | Matthew Abel | Dietitian, Registered | 156 Ny-59, A2, Suffern, NY 10901 | 2019-01-31 |
| 1609349422 | Yona Newmark | Behavioral Analyst | 84 Route 59 Suite 102, Suffern, NY 10901 | 2019-01-03 |
| 1235606005 | William M Mazariego | Specialist/Technologist | 5 Tallman Pl, Suffern, NY 10901 | 2018-10-30 |
| 1396237228 | Stephanie N Freer | Registered Nurse | 15 Suffern Pl., Suffern, NY 10901 | 2018-06-06 |
| 1588102669 | Lisa Arcuri | Registered Nurse | 15 Suffern Place Ste A, Suffern, NY 10901 | 2017-02-08 |
| 1801342787 | Maria Castro-cancel | Social Worker | 58 Campbell Avenue, Airmont, NY 10901 | 2016-08-30 |
| 1811341530 | Simone Raven Pringle | Licensed Practical Nurse | 15 Suffern Place, Suite A, Suffern, NY 10901 | 2016-04-19 |
| 1871998666 | Simi Samuel | Specialist | 13 Hillside Ct, Suffern, NY 10901 | 2014-10-23 |
| Find all providers in zip 10901 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477008381 | Jeri Helene Shappy | Specialist | 42 Ramapo Ave, Suffern, NY 10901-5941 | 2016-08-20 |
| 1720533094 | Devorah Teichman | Specialist | 59 N Lorna Ln, Suffern, NY 10901-7130 | 2016-08-16 |
| 1568813707 | Rockland Rehabilitative Medicine P.C. | Specialist | 243 Rout 59, Suffern, NY 10901-5312 | 2016-06-29 |
| 1871998666 | Simi Samuel | Specialist | 13 Hillside Ct, Suffern, NY 10901 | 2014-10-23 |
| 1336403005 | Janet Koplowitz | Specialist | 24 Pomona Ln, Suffern, NY 10901-1910 | 2012-06-27 |
| 1376807396 | Fruma Gray | Specialist | 6 Vanessa Dr, Suffern, NY 10901-2411 | 2012-06-25 |
| 1457613499 | Antonina Bernard Frank | Specialist | 9 Oxford Ct, Apt. 7908, Suffern, NY 10901-7933 | 2012-06-14 |
| 1114288974 | Kristy M Torres | Specialist | 9 Salem Ct, Suffern, NY 10901-7209 | 2012-06-07 |
| 1659632669 | Sara Turner | Specialist | 22 Old Pomona Rd, Suffern, NY 10901-2006 | 2012-06-06 |
| 1306809181 | Julia Kaplun | Specialist | 156 Route 59 Ste C1, Suffern, NY 10901-5010 | 2006-04-11 |
| Find all providers in SUFFERN | ||||
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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.