PREMISE HEALTH OF NEW JERSEY MEDICAL PC
NPI 1700017795
Clinic/Center - Primary Care in Atlantic City, NJ

Active since August 07, 2009CLIA 31D1042660 · Waiver
2015 PACIFIC AVE, ATLANTIC CITY, NJ 08401(609) 340-1633(609) 340-1230 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 15, 2022, Jul 14, 2022, Jan 23, 2017 (3 updates tracked since 2017).

About Premise Health Of New Jersey Medical Pc NPPES

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

PREMISE HEALTH OF NEW JERSEY MEDICAL PC (NPI 1700017795), doing business as Caesar's Atlantic City Health & Wellness Center, is a healthcare organization registered as a primary care in Atlantic City, New Jersey and active in the NPI registry since August 2009. The organization holds a CLIA Waiver certificate valid through July 4, 2027 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1700017795
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePREMISE HEALTH OF NEW JERSEY MEDICAL PC
Location Address2015 PACIFIC AVEAtlantic City, NJ 08401-6726
Mailing Address5500 Maryland WayBrentwood, TN 37027-7048 · (888) 830-4255
Fax(609) 340-1230
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateAugust 7, 2009
Last NPPES UpdateFebruary 17, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
NPI 1700017795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2015 PACIFIC AVE, Atlantic City, NJ 08401

Other Names 1

Doing Business AsCaesar's Atlantic City Health & Wellness Center

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 Waiver 31D1042660

Premise Health Of New Jersey Medical, PC · Atlantic City, NJ
Active · expires Jul 4, 2027
CLIA Number31D1042660
Laboratory TypeHealth Fair
Certificate Effective DateJuly 5, 2025
Certificate Expiration DateJuly 4, 2027
Laboratory DirectorDesmond Cheng
Laboratory Phone(609) 340-1633
Laboratory LocationPremise Health Of New Jersey Medical, PC2015 Pacific Ave, Atlantic City, NJ 08401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Internal Medicine
2015 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Family Medicine
2015 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Internal Medicine
2015 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Psychiatry & Neurology (Psychiatry)
2015 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Student in an Organized Health Care Education/Training Program
2015 PACIFIC AVE
ATLANTIC CITY, NJ 08401

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 Premise Health Of New Jersey Medical PC's NPI number?

The NPI number for Premise Health Of New Jersey Medical PC is 1700017795. It was assigned to this organization in the NPPES registry on August 7, 2009. The provider is doing business as Caesar's Atlantic City Health & Wellness Center.

Where is Premise Health Of New Jersey Medical PC located?

Premise Health Of New Jersey Medical PC is located at 2015 Pacific Ave, Atlantic City, NJ 08401. The listed phone number is (609) 340-1633.

What is Premise Health Of New Jersey Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Premise Health Of New Jersey Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D1042660) is associated with this NPI, valid through July 4, 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 Premise Health Of New Jersey Medical PC was last updated on February 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.