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PREMIER SHORE MEDICAL LLC
NPI 1497229520
Internal Medicine in Wall Township, NJ

Active since January 11, 2019
2621 HWY 138, WALL TOWNSHIP, NJ 07719(732) 556-1060 Get Directions Write a Review

NPPES record last updated: January 11, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Premier Shore Medical Llc NPPES

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

PREMIER SHORE MEDICAL LLC (NPI 1497229520) is a healthcare organization registered as an internal medicine in Wall Township, New Jersey and active in the NPI registry since January 2019. The organization lists Jason Nehmad, Owner, as its authorized official.

NPPES Registry Identity

NPI1497229520
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePREMIER SHORE MEDICAL LLC
Location Address2621 HWY 138Wall Township, NJ 07719-9660
Mailing AddressPo Box 101W Long Branch, NJ 07764-0101
Phone(732) 556-1060
Organization SubpartNo
Authorized OfficialJason NehmadOwner · (917) 406-8696
Enumeration DateJanuary 11, 2019
✔ NPI 1497229520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2621 HWY 138, Wall Township, NJ 07719
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Shore Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Premier Shore Medical LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Jason Nehmad, MD
Internal Medicine
NPI 1780920645
1945 STATE ROUTE 33
Neptune, NJ 07753
(732) 776-4949
✔ PECOS✔ Accepts Medicare3.0 mi
Shirley Mamiye
Nurse Practitioner
NPI 1740863893
608 LAUREL AVE
Allenhurst, NJ 07711
(718) 208-6747
✔ PECOS✔ Accepts Medicare5.4 mi
Elyse Roddy, APN
Nurse Practitioner
NPI 1942725213
501 SEAVIEW AVE
Staten Island, NY 10305
(718) 663-7000
✔ PECOS✔ Accepts Medicare29 mi

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

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 Shore Medical LLC's NPI number?

The NPI number for Premier Shore Medical LLC is 1497229520. It was assigned to this organization in the NPPES registry on January 11, 2019.

Where is Premier Shore Medical LLC located?

Premier Shore Medical LLC is located at 2621 Hwy 138, Wall Township, NJ 07719. The listed phone number is (732) 556-1060.

What is Premier Shore Medical LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Premier Shore Medical LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Premier Shore Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Premier Shore Medical LLC, in Internal Medicine and Nurse Practitioner. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Premier Shore Medical LLC was last updated on January 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.