Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Premise Health of New Jersey Medical, PC

Organization Multi-Specialty Clinic/Center · NPI 1396454765

Premise Health of New Jersey Medical, PC is a Multi-Specialty Clinic/Center in Newark, New Jersey. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

390 E Port St
Newark, NJ 07114-3115
Phone: (615) 468-3188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X

Record details

NPI number1396454765
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Wright — Legal Counsel · (615) 577-5893
Other names Tls Newark Health Center
NPI enumeratedNovember 15, 2022
Last updated in NPPESNovember 15, 2022
Certification dateNovember 15, 2022
Mailing address5500 Maryland Way Ste 120, Brentwood, TN 37027-4993

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