DR. PETER EDWARD JOHNSEN (NPI# 1336361450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336361450 |
| Entity Type | Individual |
| Full Name | DR. PETER EDWARD JOHNSEN |
| Credential | MD |
| Practice Address |
Princeton University Health Services Princeton NJ 08544-0001 |
| Mailing Address |
59 Stockton Rd Kendall Park NJ 08824-1211 |
| Practice Telephone | 6092583141 |
| Practice Fax Number | 6092581355 |
| Mailing Telephone | 7328212716 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
25MA03500400 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
PRINCETON UNIVERSITY HEALTH SERVICES |
| City | PRINCETON |
| State | NJ |
| Zip Code | 08544-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467665554 | Gladys Maria Valdesuso | Internal Medicine | Washington Road, Mccosh Health Center Princeton University, Princeton, NJ 08544 | 2007-05-07 |
| 1932320769 | Donna J Crafford | Registered Nurse | Washington Road, Princeton, NJ 08544 | 2007-05-01 |
| 1316569866 | Michael Jamison Tremblay | Specialist/Technologist | Caldwell Fieldhouse Princeton University Campus, Princeton, NJ 08544-0001 | 2020-05-07 |
| 1700407228 | Deirdre Chatlos | Specialist/Technologist | Princeton University Caldwell Field House, Princeton, NJ 08544-0001 | 2020-05-06 |
| 1659657278 | William Lynch | Specialist/Technologist | Faculty Rd, Caldwell Fieldhouse, Princeton, NJ 08544-0001 | 2011-10-27 |
| 1205040797 | Ellen Kent | Psychologist | Mccosh Health Center Washington Rd, Princeton University, Princeton, NJ 08544-0001 | 2007-05-10 |
| 1689899130 | Olga C Hernandez | Nurse Practitioner | University Health Services Princeton University, Washington Rd, Princeton, NJ 08544-0001 | 2007-04-17 |
| 1275757619 | Sara T Ingraffia | Nurse Practitioner | Princeton University Health Serv Mccosh Health Ctr, Washington Road, Princeton, NJ 08544-0001 | 2007-04-13 |
| 1124242474 | Jennifer Loraine Lister | Specialist | Caldwell Fieldhouse, Faculty Road, Princeton, NJ 08544-0001 | 2007-04-11 |
| 1730241266 | Natalie Lise Senese | Specialist/Technologist | Princeton University, Caldwell Fieldhouse, Princeton, NJ 08544-0001 | 2006-12-14 |
| Find all providers in zip 08544 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619963329 | Robert Howard Bierman | Pediatrics | 193 Grover Ave, Princeton, NJ 08540-3651 | 2005-09-27 |
| 1326221888 | Tara Mitchell | Pediatrics | 118 12th Street Ext, Princeton, WV 24740-2352 | 2007-12-06 |
| 1568442903 | Joseph Dean Pierson | Pediatrics | 301 N Harrison St, Princeton, NJ 08540-3512 | 2006-01-20 |
| 1841279924 | Bert Mandelbaum | Pediatrics | 301 N Harrison St, Princeton Nassau Pediatrics, Princeton, NJ 08540-3512 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073030953 | Erin Leigh Leonard | Pediatrics | 37 Emerson Road, Glen Rock, NJ 07452 | 2017-08-23 |
| 1104228139 | Joyce Diane Moscaritola | Pediatrics | 6 Castle Court, Randolph, NJ 07869 | 2014-09-22 |
| 1326397803 | Amy Bailon | Pediatrics | 21 Woodbine Rd, Florham Park, NJ 07932-2649 | 2012-08-30 |
| 1487941779 | Sari Bentsianov | Pediatrics | 90 Bergen St Ste 4600, Newark, NJ 07103-2425 | 2011-07-07 |
| 1174789515 | Gerald Martin Klein | Pediatrics | 131 Spinnaker Way, Neptune, NJ 07753-5231 | 2008-08-05 |
| 1043474760 | Amj Pediatrics & Associates | Pediatrics | 18 Morris Ave, #2a, Springfield, NJ 07081-1457 | 2008-07-11 |
| 1033376041 | Deena Rachel Zimmerman | Pediatrics | 1020 Phelps Rd, Teaneck, NJ 07666-5625 | 2008-05-19 |
| 1265605919 | Susan Eleanor Skalsky Bales | Pediatrics | 31 Gladding Road, Caldwell, NJ 07006-5804 | 2008-04-02 |
| 1598944415 | Hanna Gebre Medhin | Pediatrics | 10a W Railroad Ave, Jamesburg, NJ 08831-6783 | 2007-10-26 |
| 1669664298 | Rebecca Perril | Pediatrics | 4000 Route 66, Suite 125, Tinton Falls, NJ 07753-7300 | 2007-08-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.