Five Star Premier Medical Care Llc

LBN: Five Star Premier Medical Care Llc
Five Star Premier Medical Care Llc is an health care organization with primary practice located at 470 Chamberlain Ave Suite#7, Paterson NJ 07522-1031. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Five Star Premier Medical Care Llc can be contacted via phone (973) 595-7400, or through Berdu, Ernesto via phone (201) 758-1101.

Contact Information

Primary practice address
470 Chamberlain Ave Suite#7 Paterson NJ 07522-1031
Phone: (973) 595-7400
Fax: (973) 345-4156
Website:
Map and Directions
Authorized official contact:
Name: Berdu, Ernesto
Phone: (201) 758-1101

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MA07147400 New Jersey
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA07147400 New Jersey

Profile Details

NPI number 1821370149
LBN Legal business name Five Star Premier Medical Care Llc
DBA Doing business as
Authorized official Berdu, Ernesto
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2011
Last updated Sep 13th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821370149 NPPES
New Jersey MEDICAID 8376808

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