Healthcare Provider Details

I. General information

NPI: 1730789165
Provider Name (Legal Business Name): COLLEGIATE HEALTH SERVICES LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2020
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 CHASER CT
HOLMDEL NJ
07733-2933
US

IV. Provider business mailing address

2 CHASER CT
HOLMDEL NJ
07733-2933
US

V. Phone/Fax

Practice location:
  • Phone: 646-335-5140
  • Fax:
Mailing address:
  • Phone: 646-335-5140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: ANTHONY PALMIERI
Title or Position: MANAGING PARTNER
Credential:
Phone: 646-335-5140