PREMIUM RESIDENTIAL SERVICES
NPI 1750204277
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Irvington, NJ
About Premium Residential Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMIUM RESIDENTIAL SERVICES (NPI 1750204277) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Irvington, New Jersey and active in the NPI registry since August 2026. The organization lists Leslie Martinez, Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
IRVINGTON, NJ 07111
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 Residential Services's NPI number?
The NPI number for Premium Residential Services is 1750204277. It was assigned to this organization in the NPPES registry on August 1, 2026.
Where is Premium Residential Services located?
Premium Residential Services is located at 80 Maple Ave, Irvington, NJ 07111. The listed phone number is (347) 742-5642.
What is Premium Residential Services's specialty?
The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
When was this NPI record last updated?
The NPPES record for Premium Residential Services was last updated on August 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.
# Premium Residential Services · NPI 1750204277
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities organization in Irvington, New Jersey. Organization record, active in the CMS NPPES registry since August 1, 2026.
## Identity
- **NPI:** 1750204277 (Entity type: Organization)
- **Enumerated:** August 1, 2026
- **Primary specialty:** Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · taxonomy 320900000X
- **Organization subpart:** No
- **Authorized official:** Leslie Martinez, MANAGING MEMBER
## Practice location
- **Address:** 80 MAPLE AVE, Irvington, NJ 07111-4322
- **Phone:** (347) 742-5642
## Record status
- **NPPES last updated:** August 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1750204277) · Data from the CMS NPPES public registry.