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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PREMIER FAMILY MEDICAL, PC
NPI 1891740643
Family Medicine in Caldwell, NJ

Active since May 23, 2006
73 BLOOMFIELD AVE, CALDWELL, NJ 07006(973) 403-3200(973) 403-3250 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 24, 2026, Aug 22, 2020 (2 updates tracked since 2020).

About Premier Family Medical, Pc NPPES

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

PREMIER FAMILY MEDICAL, PC (NPI 1891740643) is a healthcare organization registered as a family medicine in Caldwell, New Jersey and active in the NPI registry since May 2006. The organization lists Vito Mazzoccoli, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1891740643
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePREMIER FAMILY MEDICAL, PC
Location Address73 BLOOMFIELD AVECaldwell, NJ 07006-5311
Mailing Address73 Bloomfield AveCaldwell, NJ 07006-5311 · (973) 403-3200 · Fax (973) 403-3250
Phone(973) 403-3200
Fax(973) 403-3250
Organization SubpartNo
Authorized OfficialVito MazzoccoliMedical Director · (973) 403-3200
Enumeration DateMay 23, 2006
Last NPPES UpdateSeptember 24, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2026
✔ NPI 1891740643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · MA072343
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
73 BLOOMFIELD AVE, Caldwell, NJ 07006
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Other Identifiers 1

Medicaid0029483NJ

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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premier Family Medical, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20040401000745Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Premier Family Medical, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Vito Mazzoccoli, M.D.
Family Practice
NPI 1518936053
73 BLOOMFIELD AVE 1ST FLOOR
Caldwell, NJ 07006
(973) 403-3200
✔ PECOS✔ Accepts MedicareSame address

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 Family Medical, PC's NPI number?

The NPI number for Premier Family Medical, PC is 1891740643. It was assigned to this organization in the NPPES registry on May 23, 2006.

Where is Premier Family Medical, PC located?

Premier Family Medical, PC is located at 73 Bloomfield Ave, Caldwell, NJ 07006. The listed phone number is (973) 403-3200.

What is Premier Family Medical, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Premier Family Medical, PC enrolled in Medicare?

Yes. Premier Family Medical, PC is registered in the Medicare PECOS enrollment system.

When is Premier Family Medical, PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Premier Family Medical, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Premier Family Medical, PC. 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. 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 Family Medical, PC was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 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.