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PREMIUM HEALTH INC
NPI 1336840594
Clinic/Center in Far Rockaway, NY

Active since March 15, 2023CLIA 33D2153301 · Microscopy
1212 SEAGIRT BLVD, FAR ROCKAWAY, NY 11691(718) 407-7300 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2024, Mar 16, 2023 (2 updates tracked since 2023).

About Premium Health Inc NPPES

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

PREMIUM HEALTH INC (NPI 1336840594) is a healthcare organization registered as a clinic/center in Far Rockaway, New York and active in the NPI registry since March 2023. The organization holds a CLIA Microscopy certificate valid through March 26, 2027 and lists Galina Hoolin, Credentialing Administrator, as its authorized official.

NPPES Registry Identity

NPI1336840594
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePREMIUM HEALTH INC
Location Address1212 SEAGIRT BLVDFar Rockaway, NY 11691-4551
Mailing Address365 Route 59Airmont, NY 10952-3459 · (718) 407-7300
Phone(718) 407-7300
Organization SubpartYes
Authorized OfficialGalina HoolinCredentialing Administrator · (718) 407-7300
Enumeration DateMarch 15, 2023
Last NPPES UpdateMay 15, 20242 updates tracked since enumeration
NPPES CertifiedMay 15, 2024
✔ NPI 1336840594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1212 SEAGIRT BLVD, Far Rockaway, NY 11691
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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 for Provider-Performed Microscopy Procedures (PPMP) 33D2153301

Premium Health Center · Brooklyn, NY
Active · expires Mar 26, 2027
CLIA Number33D2153301
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 1, 2019
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Eli Inzlicht-Sprei
Laboratory Phone(718) 407-7300
Laboratory LocationPremium Health Center620 Foster Ave - Suite 200, Brooklyn, NY 11230
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROYA R SAMUELS M.D.
Pediatrics
1212 SEAGIRT BLVD
FAR ROCKAWAY, NY 11691
Queens County (516) 696-9540

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 Premium Health Inc's NPI number?

The NPI number for Premium Health Inc is 1336840594. It was assigned to this organization in the NPPES registry on March 15, 2023.

Where is Premium Health Inc located?

Premium Health Inc is located at 1212 Seagirt Blvd, Far Rockaway, NY 11691. The listed phone number is (718) 407-7300.

What is Premium Health Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Premium Health Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D2153301) is associated with this NPI, valid through March 26, 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 Premium Health Inc was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.