PREMIER PHYSICIANS OF NEW YORK PLLC (NPI# 1801222955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801222955 |
| Entity Type | Organization |
| Organization Name | PREMIER PHYSICIANS OF NEW YORK PLLC |
| Practice Address |
170 William St 5th Fl New York NY 10038-2612 |
| Mailing Address |
3599 University Blvd S Suite 907 Jacksonville FL 32216-4252 |
| Practice Telephone | 6468984734 |
| Practice Fax Number | 6468984743 |
| Mailing Telephone | 9043098680 |
| Mailing Fax Number | 9043455841 |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2013-09-20 |
| Authorized Official Name | MITCHELL D TERK (DIRECTOR) |
| Authorized Official Telephone | 9044832310 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316384753 | Premier Physicians of New York Pllc | Radiology | 10614 70th Ave, Forest Hills, NY 11375-4253 | 2013-05-24 |
| 1811333107 | Premier Physicians of New York Pllc | Urology | 955 Park Ave, New York, NY 10028-0321 | 2013-05-14 |
| 1134564719 | Premier Physicians of New York Pllc | Urology | 24 E 12th St, Suite 2-1, New York, NY 10003-4513 | 2013-05-08 |
| 1083059877 | Premier Physicians of New York Pllc | Urology | 24 E 12th St, Suite 2-1, New York, NY 10003-4513 | 2013-05-07 |
| 1427302942 | Premier Physicians of New York Pllc | Urology | 229 E 79th St, Suite 1a, New York, NY 10075-0866 | 2012-11-06 |
| 1861746513 | Premier Physicians of New York Pllc | Urology | 205 E 78th St, New York, NY 10075-1243 | 2012-11-02 |
| 1699029769 | Premier Physicians of New York Pllc | Urology | 157 E 72nd St, New York, NY 10021-4331 | 2012-10-29 |
| 1417201583 | Premier Physicians of New York Pllc | Urology | 3041 Avenue U, 2nd Floor, Brooklyn, NY 11229-5126 | 2012-10-29 |
| 1235483306 | Premier Physicians of New York Pllc | Urology | 1120 Park Ave, New York, NY 10128-1242 | 2012-10-29 |
| 1316291487 | Premier Physicians of New York Pllc | Urology | 12 E 86th St, New York, NY 10028-0506 | 2012-10-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PREMIER PHYSICIANS OF NEW YORK PLLC | 61 East 77th Street, New York, New York 10075 |
| Street Address |
170 WILLIAM ST 5TH FL |
| City | NEW YORK |
| State | NY |
| Zip Code | 10038-2612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790781490 | Lee Winter | Anesthesiology | 170 William St, New York, NY 10038-2612 | 2005-06-27 |
| 1336747849 | Alexa Klink | Physician Assistant | 170 William St, New York, NY 10038-2612 | 2020-10-16 |
| 1518573492 | Ana K Gonzalez Villasenor | Physician Assistant | 170 William St, New York, NY 10038-2612 | 2020-09-16 |
| 1609480078 | Emily Nicole Rathmann | Physician Assistant | 170 William St, New York, NY 10038-2612 | 2020-09-03 |
| 1093324360 | Kelsey Nicole O'connor | Physician Assistant | 170 William St, New York, NY 10038-2612 | 2020-07-23 |
| 1881210086 | Thomas Bresnahan | Respiratory Therapist, Registered | 170 William St, New York, NY 10038-2612 | 2020-06-23 |
| 1184247793 | Colleen Fay | Physician Assistant | 170 William St, New York, NY 10038-2612 | 2020-05-19 |
| 1912529363 | Kristen Elizabeth Casale | Nurse Practitioner | 170 William St, New York, NY 10038-2612 | 2020-05-08 |
| 1154941342 | Katherine Li | Physical Therapist | 170 William St, New York, NY 10038-2612 | 2020-04-17 |
| 1962038273 | Demetra Nicole Marathas | Physician Assistant | 170 William St, New York, NY 10038-2612 | 2020-03-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093353575 | Jacqueline Michelle Collins | Speech-Language Pathologist | 144-176 E 128th Street, New York, NY 10038 | 2019-12-16 |
| 1013552421 | Sai Ka Tsang | Optometrist | 150 William Street, Pride Optical, New York, NY 10038 | 2019-11-08 |
| 1407412802 | Corner Chemists Pharmacy LLC | Pharmacy | 11 Henry Street, New York, NY 10038 | 2019-05-13 |
| 1235603374 | Chuan Jing Mou | Acupuncturist | 7-8 Chatham Square #805, New York, NY 10038 | 2019-01-11 |
| 1023531654 | Natalie Considine | Counselor | 75 Maiden Ln Ste 341, New York, NY 10038 | 2017-07-25 |
| 1801319199 | Cecile Bell | Registered Nurse | 15 St James Place, Apt 10 I, New York, NY 10038 | 2017-07-19 |
| 1598206088 | Jessica Moreno | Registered Nurse | 182 South Street Apt 8e, New York, NY 10038 | 2017-03-16 |
| 1801258678 | Disha Vin | Physical Therapist | 160 Broadway East Building, New York, NY 10038 | 2016-03-22 |
| 1861877110 | Andrew Zhu | Physician Assistant | 70 William Street, New York, NY 10038 | 2015-07-29 |
| 1467848770 | Bryan Andrew Roller | Anesthesiology | Columbia University Medical Center - Dept of Anesthesia, 622 West 168th Street, New York, NY 10038 | 2015-04-13 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714221 | Total Urology Office Based Surgery LLC | Urology | 7 W 51st St Ste 1&4, 8th Floor, New York, NY 10019-6910 | 2020-03-05 |
| 1639709561 | American Medical PC | Urology | 45 W 34th St Rm 901, New York, NY 10001-3145 | 2020-01-20 |
| 1548728058 | Jose Miguel Flores Martinez | Urology | 16 E 60th St Ste 402, New York, NY 10022-1096 | 2019-03-05 |
| 1245796846 | Miroslav L Djordjevic | Urology | 1425 Madison Ave Fl 6, New York, NY 10029-6514 | 2019-02-19 |
| 1588025654 | Brm Holdings LLC | Urology | 930 5th Ave Apt 8h, New York, NY 10021-2680 | 2016-03-16 |
| 1720405020 | Boston Medical, P.C. | Urology | 45 W. 34th Street, Suite 901, New York, NY 10016 | 2014-03-25 |
| 1740622646 | Stanley Arthur Ginsberg | Urology | 401 East 80th St, Apt 9k, New York, NY 10075-0298 | 2013-07-22 |
| 1871842997 | Gerald Zelikovsky, M.d., P.C. | Urology | 5 East 84th Street, New York, NY 10002-0407 | 2012-09-05 |
| 1154679876 | Jawad Antoine Feghali | Urology | 215 E 77th St Apt 2e, New York, NY 10075-2101 | 2012-08-28 |
| 1467714576 | Mohit Gupta | Urology | 222 E 41st St Fl 12, New York, NY 10017-6739 | 2012-06-14 |
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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.