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NPI Code Detail

MEDICARE: PREMIER BRAIN AND SPINE LLC

MEDICARE: PREMIER BRAIN AND SPINE LLC
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
1363L00000XNurse Practitioner
2207P00000XEmergency Medicine Physician
3332B00000XDurable Medical Equipment & Medical Supplies
4363A00000XPhysician Assistant
5207R00000XInternal Medicine Physician
6261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1942185384
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREMIER BRAIN AND SPINE LLC
Provider Business Mailing Address
First Line : 90 MATAWAN RD STE 302
Second Line :
City : MATAWAN
State : NJ
Zip : 07747-2653
Country : US
Telephone Number : 732-441-7177
Fax Number : 732-441-7165
Provider Business Practice Location Address
First Line : 64 PRINCETON HIGHTSTOWN RD STE 2
Second Line :
City : WEST WINDSOR
State : NJ
Zip : 08550-1103
Country : US
Telephone Number : 609-799-7009
Fax Number : 609-799-7808
Authorized Official
Title or Position : PART-OWNER: MANAGING MEMBER
Name : DR. ERIC D FREEMAN
Credential : DO
Telephone Number : 732-906-9600
Provider Enumeration Date : 08/06/2025
Last Update Date : 12/10/2025

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Directions to “PREMIER BRAIN AND SPINE LLC ” Practice Location

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