PREMIER MEDICAL ALLIANCE LLC
NPI 1093142895
Internal Medicine - Gastroenterology in Emerson, NJ
NPI Status: Active since October 11, 2013
Contact Information
466 OLD HOOK ROAD
SUITE 1
EMERSON, NJ
ZIP 07630
Phone: (201) 967-8221
Fax: (201) 634-9647
- Organization
- Internal Medicine
- Gastroenterology
- CLIA Number: 31D0696201
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-03-2027
About PREMIER MEDICAL ALLIANCE LLC
This page provides the complete NPI Profile along with additional information for Premier Medical Alliance Llc, an internist established in Emerson, New Jersey operating as a Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1093142895 assigned on October 2013. The practitioner's primary taxonomy code is 207RG0100X with license number 25MA05477400 (NJ). The provider is registered as an organization and their NPI record was last updated 13 years ago. Premier Medical Alliance Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Eric Avezzano Md (President)
- NPI
- 1093142895
- Provider Name
- PREMIER MEDICAL ALLIANCE LLC
- Entity Type
- Organization
- Location Address
- 466 OLD HOOK ROAD SUITE 1 EMERSON, NJ 07630
- Location Phone
- (201) 967-8221
- Location Fax
- (201) 634-9647
- Mailing Address
- 466 OLD HOOK ROAD SUITE 1 EMERSON, NJ 07630
- Mailing Phone
- (201) 967-8221
- Mailing Fax
- (201) 634-9647
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-11-2013
- Last Update Date
- 10-11-2013
- Code Navigator
An internist like Premier Medical Alliance Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Gastroenterology
- Taxonomy Code
- 207RG0100X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 25MA05477400
- License State
- NJ
- Taxonomy Description
- An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207K00000X | Allopathic & Osteopathic Physicians | Allergy & Immunology | 25MA0806440 (NJ) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 31D0696201
- Facility Type
- Physician Office
- Certificate Effective Date
- December 04, 2025
- Certificate Expiration Date
- December 03, 2027
- Laboratory Director
- DR. VASILIKI L. SAITAS
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Premier Medical Alliance Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1093142895, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093142895, enumerated as an "organization" on October 11, 2013.
The provider is located at 466 OLD HOOK ROAD SUITE 1 EMERSON, NJ 07630 and the phone number is (201) 967-8221.
Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.
