Provider Demographics
NPI:1336310903
Name:PREMIER HEALTHCARE ASSOCIATES, PC
Entity Type:Organization
Organization Name:PREMIER HEALTHCARE ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HITESH
Authorized Official - Middle Name:BABUBHAI
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-202-7456
Mailing Address - Street 1:1695 HIGHWAY 88 STE A
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-3029
Mailing Address - Country:US
Mailing Address - Phone:732-202-7456
Mailing Address - Fax:732-202-7459
Practice Address - Street 1:1695 HIGHWAY 88 STE A
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-3029
Practice Address - Country:US
Practice Address - Phone:732-202-7456
Practice Address - Fax:732-202-7459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-21
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07919500261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care