Premier Infusion LLC
Clinic/Center, Infusion Therapy in Sewell, NJ. Organization (NPI-2).
NPI number1336795236
StatusActive
Last updated in NPPESAug 15, 2019
Details
- NPI
- 1336795236
- Entity type
- Organization (NPI-2)
- Legal business name
- Premier Infusion LLC
- Organization subpart
- No
- Enumeration date
- Aug 15, 2019
- Last updated
- Aug 15, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QI0500X | Clinic/Center, Infusion Therapy | – | – | Yes |
Practice location
508 Hurffville Crosskeys Rd Ste 16Sewell, NJ 08080-2730
Phone 856-344-7982 · Fax 856-344-7984
Mailing address
508 Hurffville Crosskeys Rd Ste 16Sewell, NJ 08080-2730
Phone 856-344-7982 · Fax 856-344-7984
Authorized official
Antoinette Edmondson
Administrator
8563447982
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