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PREMIER MEDICAL ALLIANCE LLC
NPI 1093142895
Internal Medicine - Gastroenterology in Emerson, NJ

Active since October 11, 2013CLIA 31D0696201 · Accreditation
466 OLD HOOK ROAD, SUITE 1, EMERSON, NJ 07630(201) 967-8221(201) 634-9647 Get Directions Write a Review

NPPES record last updated: October 11, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Premier Medical Alliance Llc NPPES

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

PREMIER MEDICAL ALLIANCE LLC (NPI 1093142895) is a healthcare organization registered as a gastroenterology in Emerson, New Jersey and active in the NPI registry since October 2013. The organization holds an CLIA Accreditation certificate valid through December 3, 2027 and lists Eric Avezzano, President, as its authorized official.

NPPES Registry Identity

NPI1093142895
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NamePREMIER MEDICAL ALLIANCE LLC
Location Address466 OLD HOOK ROAD, SUITE 1Emerson, NJ 07630-1368
Mailing Address466 Old Hook Road, Suite 1Emerson, NJ 07630-1368 · (201) 967-8221 · Fax (201) 634-9647
Phone(201) 967-8221
Fax(201) 634-9647
Organization SubpartNo
Authorized OfficialEric AvezzanoPresident · (201) 967-8221
Enumeration DateOctober 11, 2013
✔ NPI 1093142895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NJ · 25MA05477400
Definition
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.
Also ListedAllergy & ImmunologyTaxonomy 207K00000X · License 25MA0806440 (NJ)
466 OLD HOOK ROAD, Emerson, NJ 07630
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premier Medical Alliance Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

42

Medicare enrollment records show 42 clinicians reassign Medicare billing to Premier Medical Alliance LLC, which bills Medicare for the services they deliver. Of these, 21 practice at this address and 28 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Anesthesiology14
Gastroenterology10
Internal Medicine9
Nurse Practitioner3
Pulmonary Disease2
Family Practice1
Pathology1
Rheumatology1
1 other specialty1

Nearest to this location (20)

See all 42
Crystal Broussard, MD
Gastroenterology
NPI 1114955846
466 OLD HOOK RD SUITE 1
Emerson, NJ 07630
(201) 967-8221
✔ PECOS✔ Accepts MedicareSame address
Jeff Chung, M.D.
Rheumatology
NPI 1083684088
466 OLD HOOK RD
Emerson, NJ 07630
(201) 967-8221
✔ PECOS✔ Accepts MedicareSame address
Holly Cullen, M.D.
Gastroenterology
NPI 1023048584
466 OLD HOOK RD SUITE 1
Emerson, NJ 07630
(201) 967-8221
✔ PECOS✔ Accepts MedicareSame address
Robert Pittman, MD
Gastroenterology
NPI 1043254535
466 OLD HOOK RD SUITE 1
Emerson, NJ 07630
(201) 967-8221
✔ PECOS✔ Accepts MedicareSame address
Jeffrey Kim, M.D.
Pulmonary Disease
NPI 1073648994
466 OLD HOOK RD SUITE 26
Emerson, NJ 07630
(201) 261-0821
✔ PECOS✔ Accepts MedicareSame address
Alyse Bellomo, MD
Gastroenterology
NPI 1700890837
466 OLD HOOK ROAD SUITE 1
Emerson, NJ 07630
(518) 272-0234
✔ PECOS✔ Accepts MedicareSame address
Neeta Motiwala, MD
Internal Medicine
NPI 1538153531
466 OLD HOOK ROAD SUITE 1
Emerson, NJ 07630
(201) 967-8221
✔ PECOS✔ Accepts MedicareSame address
George Lin
Pulmonary Disease
NPI 1518927474
466 OLD HOOK RD SUITE 26
Emerson, NJ 07630
(201) 261-0821
✔ PECOS✔ Accepts MedicareSame address
Eric Avezzano, MD
Gastroenterology
NPI 1578591814
466 OLD HOOK RD SUITE #1
Emerson, NJ 07630
(201) 967-8221
✔ PECOS✔ Accepts MedicareSame address
Bhavik Bhandari, M.D.
Gastroenterology
NPI 1679763890
466 OLD HOOK RD STE 1
Emerson, NJ 07630
(201) 967-8221
✔ PECOS✔ Accepts MedicareSame address
Alan Briker, MD
Internal Medicine
NPI 1942238654
466 OLD HOOK RD
Emerson, NJ 07630
(201) 967-8221
✔ PECOS✔ Accepts MedicareSame address
Anthony De Lillo, MD
Gastroenterology
NPI 1356372536
466 OLD HOOK RD SUITE 1
Emerson, NJ 07630
(201) 967-8221
✔ PECOS✔ Accepts MedicareSame address
Veena Desai, MD
Family Practice
NPI 1548594211
466 OLD HOOK RD BERGEN MEDICAL ASSOICIATES SUITE 1
Emerson, NJ 07630
(201) 967-0340
✔ PECOS✔ Accepts MedicareSame address
Susan Flanzman, MD
Internal Medicine
NPI 1609870245
466 OLD HOOK RD SUITE 1
Emerson, NJ 07630
(201) 967-8221
✔ PECOS✔ Accepts MedicareSame address
Kedar Gokhale, MD
Internal Medicine
NPI 1437134061
466 OLD HOOK RD SUITE 1
Emerson, NJ 07630
(201) 967-8221
✔ PECOS✔ Accepts MedicareSame address
Allen Griggs, DO
Internal Medicine
NPI 1912935669
466 OLD HOOK RD SUITE 1
Emerson, NJ 07630
(201) 967-8221
✔ PECOS✔ Accepts MedicareSame address
Vivian Lan, MD
Internal Medicine
NPI 1619912284
466 OLD HOOK RD SUITE #1
Emerson, NJ 07630
(201) 967-8221
✔ PECOS✔ Accepts MedicareSame address
Robert Levine, MD
Gastroenterology
NPI 1538190731
466 OLD HOOK RD
Emerson, NJ 07630
(201) 967-8221
✔ PECOS✔ Accepts MedicareSame address
Anil Patel, MD
Anesthesiology
NPI 1619053741
466 OLD HOOK RD SUITE 19
Emerson, NJ 07630
(201) 967-2455
✔ PECOSSame address
Vasiliki Saitas, MD
Pathology
NPI 1427105428
466 OLD HOOK RD STE 1
Emerson, NJ 07630
(201) 967-8221
✔ PECOS✔ Accepts MedicareSame address
See all 42 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Accreditation 31D0696201

Premier Medical Alliance, LLC · Emerson, NJ
Active · expires Dec 3, 2027
CLIA Number31D0696201
Laboratory TypePhysician Office
Certificate Effective DateDecember 4, 2025
Certificate Expiration DateDecember 3, 2027
Laboratory DirectorDr. Vasiliki L. Saitas
Laboratory Phone(201) 967-8221
Laboratory LocationPremier Medical Alliance, LLC466 Old Hook Rd Suite 1, Emerson, NJ 07630
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Premier Medical Alliance LLC's NPI number?

The NPI number for Premier Medical Alliance LLC is 1093142895. It was assigned to this organization in the NPPES registry on October 11, 2013.

Where is Premier Medical Alliance LLC located?

Premier Medical Alliance LLC is located at 466 Old Hook Road Suite 1, Emerson, NJ 07630. The listed phone number is (201) 967-8221.

What is Premier Medical Alliance LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Premier Medical Alliance LLC enrolled in Medicare?

Yes. Premier Medical Alliance LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Medical Alliance LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 42 clinicians in 9 Medicare specialties reassign their Medicare billing to Premier Medical Alliance LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Anesthesiology (14), Gastroenterology (10) and Internal Medicine (9). Of these, 21 practice at this address and 28 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Premier Medical Alliance LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 31D0696201) is associated with this NPI, valid through December 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premier Medical Alliance LLC was last updated on October 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.