Healthcare Provider Details

I. General information

NPI: 1932027778
Provider Name (Legal Business Name): PREMIER CARE 4 ALL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 COBBLERS CIR
FRANKLIN PARK NJ
08823-1780
US

IV. Provider business mailing address

35 COBBLERS CIR
FRANKLIN PARK NJ
08823-1780
US

V. Phone/Fax

Practice location:
  • Phone: 718-355-0919
  • Fax:
Mailing address:
  • Phone: 718-355-0919
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: AYESHA KIRAN
Title or Position: PROVIDER
Credential: MD
Phone: 718-355-0919