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Premier Medical, Pllc

Internal Medicine Physician in Staten Island, NY · enumerated 2007 · authorized official Jeffry Tambor, Medical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1962682864

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Registry record

Entity type Organization (Type 2)
Legal business name Premier Medical, Pllc
Practice address 265 Mason Ave, Staten Island, NY, 10305
Phone (718) 979-5880
Fax (718) 979-6476
Enumeration date Nov 7, 2007
Last updated in NPPES Nov 2, 2015

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 158418 (NY) Primary

Authorized official

Name Jeffry Tambor
Title Medical Director
Phone (718) 979-5880

Other identifiers

Identifier Type State Issuer
01925915 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Premier Medical, Pllc?
The NPI for Premier Medical, Pllc is 1962682864, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Premier Medical, Pllc?
NPPES lists Jeffry Tambor (Medical Director) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-11-02.