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NPI Code Detail

MEDICARE: PREMISE HEALTH OF NEW JERSEY MEDICAL PC

MEDICARE: PREMISE HEALTH OF NEW JERSEY MEDICAL PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center
2261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1205438520
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREMISE HEALTH OF NEW JERSEY MEDICAL PC
Provider Business Mailing Address
First Line : 5500 MARYLAND WAY STE 120
Second Line :
City : BRENTWOOD
State : TN
Zip : 37027-4993
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 555 COLLEGE RD E
Second Line :
City : PRINCETON
State : NJ
Zip : 08540-6616
Country : US
Telephone Number : 609-419-8564
Fax Number : 609-419-8573
Authorized Official
Title or Position : PRESIDENT
Name : EDWARD WILLIAM SCHWARTZ
Credential :
Telephone Number : 844-407-7557
Provider Enumeration Date : 11/11/2020
Last Update Date : 02/03/2026

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Directions to “PREMISE HEALTH OF NEW JERSEY MEDICAL PC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.