Organization
FIVE STAR PREMIER MEDICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO BERDU (CREDENTIALING)
(201) 758-1101
Entity
Organization
Contact information
Practice address
470 CHAMBERLAIN AVE, SUITE#7, PATERSON, NJ 07522-1031
(973) 595-7400
(973) 345-4156
Mailing address
PO BOX 3247, WAYNE, NJ 07474-3247
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MA07147400
NJ
207Q00000X
Family Medicine Physician
Primary
25MA07147400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8376808
—
NJ
Enumeration date
09/13/2011
Last updated
09/13/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us