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PREMISE HEALTH OF NEW JERSEY MEDICAL PC
NPI 1255053195
Clinic/Center - Multi-Specialty in Wall Township, NJ

Active since September 16, 2022
1427 WYCKOFF RD, WALL TOWNSHIP, NJ 07727(732) 256-5044 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 4, 2026, Sep 16, 2022 (2 updates tracked since 2022).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Multi-Specialty

About PREMISE HEALTH OF NEW JERSEY MEDICAL PC

This page provides the complete NPI Profile along with additional information for Premise Health Of New Jersey Medical Pc, a provider established in Wall Township, New Jersey operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1255053195 assigned on September 2022. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated February 2026. The authorized official of this NPI record is Edward William Schwartz (President)

NPI
1255053195 Verify this NPI
Provider Name
PREMISE HEALTH OF NEW JERSEY MEDICAL PC
Entity Type
Organization
Location Address
1427 WYCKOFF RD WALL TOWNSHIP, NJ 07727
Location Phone
(732) 256-5044
Mailing Address
5500 MARYLAND WAY STE 120 BRENTWOOD, TN 37027
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-16-2022
Last Update Date
02-04-2026
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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

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

EDWARD WILLIAM SCHWARTZ

Authorized Official Title
PRESIDENT
Authorized Official Phone
(844) 407-7557

Reviews for PREMISE HEALTH OF NEW JERSEY MEDICAL PC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

CHRISTINE B DESANTIS APRN
Nurse Practitioner (Family)
1427 WYCKOFF RD, HORIZON BCBS-HEALTHCENTER
WALL TOWNSHIP, NJ 07727
Monmouth County (732) 256-5044

Frequently Asked Questions

What is PREMISE HEALTH OF NEW JERSEY MEDICAL PC's NPI number?

The NPI number assigned to this healthcare provider is 1255053195, enumerated as an "organization" on September 16, 2022.

Where is the provider located?

The provider is located at 1427 WYCKOFF RD WALL TOWNSHIP, NJ 07727 and the phone number is (732) 256-5044.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.