# HUDSON PREMIER MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548809221
- **Authorized official:** NIZAR KIFAIEH MD (PRESIDENT)
- **Authorized official phone:** (201) 392-3100

## Contact information

- **Practice address:** 55 MEADOWLANDS PKWY, SECAUCUS, NJ 07094-2977
- **Practice address phone:** (201) 325-6744
- **Mailing address:** PO BOX 825403, PHILADELPHIA, PA 19182-5403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | — |
| 208M00000X | Hospitalist Physician | — | NULL | — |
| 208M00000X | Hospitalist Physician | — | — | — |

## Other

- **Enumeration date:** 12/30/2019
- **Last updated:** 02/02/2023