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PREMIER MEDICAL, PLLC
NPI 1962682864
Internal Medicine in Staten Island, NY

Active since November 07, 2007
265 MASON AVE, STATEN ISLAND, NY 10305(718) 979-5880(718) 979-6476 Get Directions Write a Review

NPPES record last updated: November 2, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Premier Medical, Pllc NPPES

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

PREMIER MEDICAL, PLLC (NPI 1962682864) is a healthcare organization registered as an internal medicine in Staten Island, New York and active in the NPI registry since November 2007. The organization lists Jeffry Tambor, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1962682864
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePREMIER MEDICAL, PLLC
Location Address265 MASON AVEStaten Island, NY 10305-3412
Mailing AddressPo Box 141296Staten Island, NY 10314-1296 · (718) 979-5880 · Fax (718) 979-6476
Phone(718) 979-5880
Fax(718) 979-6476
Organization SubpartNo
Authorized OfficialJeffry TamborMedical Director · (718) 979-5880
Enumeration DateNovember 7, 2007
Last NPPES UpdateNovember 2, 2015
✔ NPI 1962682864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 158418
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.
265 MASON AVE, Staten Island, NY 10305
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Other Identifiers 2

Medicaid01925915NY
Medicare UPINA62415NY

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

Other Providers at the Same Location NPPES 3

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

DR. MITCHELL MAIMAN MD
Obstetrics & Gynecology (Gynecologic Oncology)
265 MASON AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9399
MASON MEDICAL PRACTICE PLLC
Family Medicine
265 MASON AVE
STATEN ISLAND, NY 10305
Richmond County (718) 887-2280
RUSSELL W. KADRO
Nurse Practitioner (Family)
265 MASON AVE
STATEN ISLAND, NY 10305
Richmond County (718) 979-5880

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 Medical, PLLC's NPI number?

The NPI number for Premier Medical, PLLC is 1962682864. It was assigned to this organization in the NPPES registry on November 7, 2007.

Where is Premier Medical, PLLC located?

Premier Medical, PLLC is located at 265 Mason Ave, Staten Island, NY 10305. The listed phone number is (718) 979-5880.

What is Premier Medical, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Premier Medical, PLLC was last updated on November 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.