NYL WELLNESS CENTER JERSEY CITY
NPI 1033624440
Clinic/Center - Multi-Specialty in Jersey City, NJ

Q: What is Premise Health Of New Jersey Medical, P.C's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since December 07, 2017CLIA 31D1024648 · Waiver

30 HUDSON ST FL 30, JERSEY CITY, NJ 07302(201) 942-2200(201) 685-6702 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 23, 2022, Dec 7, 2017 (2 updates tracked since 2017).

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About Nyl Wellness Center Jersey City NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NYL WELLNESS CENTER JERSEY CITY (NPI 1033624440) is a healthcare organization registered as a multi-specialty in Jersey City, New Jersey and active in the NPI registry since December 2017. The organization holds a CLIA Waiver certificate valid through April 18, 2028 and lists Jon Leizman, President, as its authorized official.

NPPES Registry Identity

NPI1033624440

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NamePREMISE HEALTH OF NEW JERSEY MEDICAL, P.C

Location Address30 HUDSON ST FL 30Jersey City, NJ 07302-4600

Mailing Address5500 Maryland Way Ste 400Brentwood, TN 37027-7048 · (844) 407-7557

Phone(201) 942-2200

Fax(201) 685-6702

Organization SubpartNo

Authorized OfficialJon LeizmanPresident · (216) 479-9063

Enumeration DateDecember 7, 2017

Last NPPES UpdateAugust 23, 20222 updates tracked since enumeration

NPPES CertifiedAugust 23, 2022

✔ NPI 1033624440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

30 HUDSON ST FL 30, Jersey City, NJ 07302

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Other Names 1

Doing Business AsNyl Wellness Center Jersey City

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D1024648

Premise Health Of New Jersey Medical, PC · Jersey City, NJ

Active · expires Apr 18, 2028

CLIA Number31D1024648

Laboratory TypeAmbulance

Certificate Effective DateApril 19, 2026

Certificate Expiration DateApril 18, 2028

Laboratory DirectorEvelyn Chu

Laboratory Phone(212) 902-0111

Laboratory LocationPremise Health Of New Jersey Medical, PC30 Hudson Street Goldman Sachs Health Services 3rd Floor, Jersey City, NJ 07302

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premise Health Of New Jersey Medical, P.C's NPI number?

The NPI number for Premise Health Of New Jersey Medical, P.C is 1033624440. It was assigned to this organization in the NPPES registry on December 7, 2017. The provider is doing business as Nyl Wellness Center Jersey City.

Where is Premise Health Of New Jersey Medical, P.C located?

Premise Health Of New Jersey Medical, P.C is located at 30 Hudson St Fl 30, Jersey City, NJ 07302. The listed phone number is (201) 942-2200.

What is Premise Health Of New Jersey Medical, P.C's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Premise Health Of New Jersey Medical, P.C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D1024648) is associated with this NPI, valid through April 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premise Health Of New Jersey Medical, P.C was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.