| Premier Health Associates Llc | |
|
123 Newton Sparta Rd Newton NJ 07860-2769 | |
| (973) 579-6300 | |
| (973) 579-1524 |
| Full Name | Premier Health Associates Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 123 Newton Sparta Rd, Newton, New Jersey |
| Authorized Official Name and Position | Susan Myck (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 9739400423 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Health Associates Llc 532 Lafayette Rd Ste 300 Sparta NJ 07871-4411 Ph: (973) 940-0423 | Premier Health Associates Llc 123 Newton Sparta Rd Newton NJ 07860-2769 Ph: (973) 579-6300 |
| NPI Number | 1043257991 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 11/29/2017 |
| Medicare PECOS PAC ID | 0840283008 |
|---|---|
| Medicare Enrollment ID | O20040405001348 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043257991 | NPI | - | NPPES |
| CA3072 | Other | NJ | NJ RAILROAD MEDICARE |
| 6747809 | Medicaid | NJ | |
| CA6896 | Other | PA | PA RAILROAD MEDICARE |
| Provider Name | Jesus R Vergara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699752642 PECOS PAC ID: 2062478233 Enrollment ID: I20100215000517 |
| Provider Name | Geralyn M Ponzio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962484501 PECOS PAC ID: 4082681515 Enrollment ID: I20181112002043 |
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