Premier Medical Alliance LLC
NPI 1093142895ActiveOrganization· Internal Medicine, Gastroenterology· Emerson, NJ
Internal Medicine, Gastroenterology in Emerson, New Jersey, registered in NPPES in October 2013. The authorized official on file is Eric Avezzano, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1093142895 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 11, 2013 |
| Last updated in NPPES | Oct 11, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | 25MA05477400 | NJ |
| Allergy & Immunology | 207K00000X | 25MA0806440 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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