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

Promed Preferred Ia PLLC

Organization Internal Medicine Physician · NPI 1144196973

Promed Preferred Ia PLLC is an Internal Medicine Physician in Bloomingburg, New York. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

142 Main St
Bloomingburg, NY 12721-4611
Phone: (615) 499-3165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1144196973
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lev Grinman — President · (615) 499-3165
NPI enumeratedOctober 17, 2025
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026
Mailing address329 S Oyster Bay Rd # 2059, Plainview, NY 11803-3301