| Organization Name: | FIVE STAR PREMIER MEDICAL CARE LLC |
| NPI Number: | 1821370149 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ERNESTO BERDU (CREDENTIALING) |
| Mailing Address: | 470 Chamberlain Ave Suite#7 Paterson |
| State: | NJ US |
| Postal Code: | 075221031 |
| Phone Number: | 9735957400 |
| Fax Number: | 9733454156 |
| NPI Enumeration Date: | 09/13/2011 |
| NPI Last Update Date: | 09/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207P00000X |
| License Number: | 25MA07147400 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Emergency Medicine |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |