PERSHING PLAZA LIVE WELL HEALTH CENTER
NPI 1740646215
Clinic/Center in Jersey City, NJ
About Pershing Plaza Live Well Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PERSHING PLAZA LIVE WELL HEALTH CENTER (NPI 1740646215) is a healthcare organization registered as a clinic/center in Jersey City, New Jersey and active in the NPI registry since January 2016. The organization holds a CLIA Waiver certificate valid through October 19, 2026 and lists Jon Leizman, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 31D2120635
Premise Health Of New Jersey Medical, PC · Jersey City, NJOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JERSEY CITY, NJ 07302
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, P.C's NPI number?
The NPI number for Premise Health Of New Jersey Medical, P.C is 1740646215. It was assigned to this organization in the NPPES registry on January 13, 2016. The provider is doing business as Pershing Plaza Live Well Health Center.
Where is Premise Health Of New Jersey Medical, P.C located?
Premise Health Of New Jersey Medical, P.C is located at 95 Christopher Columbus Dr, Jersey City, NJ 07302. The listed phone number is (201) 413-2300.
What is Premise Health Of New Jersey Medical, P.C's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Does Premise Health Of New Jersey Medical, P.C hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D2120635) is associated with this NPI, valid through October 19, 2026. 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, P.C was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Pershing Plaza Live Well Health Center · NPI 1740646215
Clinic/Center organization in Jersey City, New Jersey. Organization record, active in the CMS NPPES registry since January 13, 2016.
## Identity
- **NPI:** 1740646215 (Entity type: Organization)
- **Enumerated:** January 13, 2016
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Legal business name:** Premise Health Of New Jersey Medical, P.c
- **Organization subpart:** No
- **Authorized official:** Jon Leizman, PRESIDENT
## Practice location
- **Address:** 95 CHRISTOPHER COLUMBUS DR, Jersey City, NJ 07302-2978
- **Phone:** (201) 413-2300
## Record status
- **NPPES last updated:** August 23, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1740646215) · Data from the CMS NPPES public registry.