PRINCETON BRAIN SPINE AND SPORTS MEDICINE, LLC


Address: 558 Lawrence Square Blvd S, Lawrenceville, NJ 08648-2674
Phone: 6099219001

PRINCETON BRAIN SPINE AND SPORTS MEDICINE, LLC (NPI# 1366002651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366002651
Entity Type Organization
Organization Name PRINCETON BRAIN SPINE AND SPORTS MEDICINE, LLC
Practice Address 558 Lawrence Square Blvd S
Lawrenceville
NJ 08648-2674
Practice Telephone 6099219001
Mailing Telephone 6095856100
Enumeration Date 2019-06-18
Last Update Date 2019-08-07
Authorized Official Name GREGORY QUILLE (PRESIDENT)
Authorized Official Telephone 6095856100
Authorized Official Credential DC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor Chiropractic Providers

Other Provider/Organization Names

Other Name Type Code
Princeton Brain, Spine & Sports Medicine Doing Business As Name - Organization

Office Location

Street Address 558 LAWRENCE SQUARE BLVD S
City LAWRENCEVILLE
State NJ
Zip Code 08648-2674

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336763531 Medlife Diagnostic Laboratories Clinical Medical Laboratory 1717 Brunswick Ave, Lawrence Twp, NJ 08648 2020-06-03
1770137226 Andrew Corato Specialist/Technologist Rider Sports Medicine 2083 Lawrenceville Road, Lawrenceville, NJ 08648 2019-08-01
1457832149 St. Mary's Assisted Living Assisted Living Facility One Bishops' Drive, Lawrenceville, NJ 08648 2018-08-22
1255832341 Alma Garcia Social Worker 9 Gordon Avenue, Lawrenceville, NJ 08648 2018-02-23
1548760804 Lawrence Spine & Wellness Pa Chiropractor 558 Lawrence Square Blvd South, Lawrenceville, NJ 08648 2018-02-13
1982134722 Cindy Johnson Counselor 8433 Town Court North, Lawrenceville, NJ 08648 2017-06-14
1306372719 Adapt Performance and Rehab Clinic/Center 1080 Spruce Street, Suite A, Lawrence Township, NJ 08648 2017-05-04
1780123588 Feliks Shtindler Md PC Internal Medicine 3450 Princeton Pike, Suite 120, Lawrenceville, NJ 08648 2017-02-14
1295272995 Favorite Dentist, LLC Dentist 3100 Princeton Pk., Bldg 2 1st Floor, Lawrenceville, NJ 08648 2017-01-20
1508241803 Eden Autism Services. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 21302 Cedar Court, Lawrenceville, NJ 08648 2015-07-28
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Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689290942 Shelby Kemp Chiropractor 455 Grayson Hwy Ste 107, Lawrenceville, GA 30046-7159 2020-06-23
1306499785 Bryan Acosta Chiropractor 471 Scenic Hwy South, Lawrenceville, GA 30046 2019-07-24
1205491313 Youngoh Kim Chiropractor 1770 Rutland Pass Dr, Lawrenceville, GA 30045-3726 2019-05-03
1568934719 Renee Christine Robus Chiropractor 136 Franklin Corner Rd Ste 110, Lawrenceville, NJ 08648-2586 2018-12-28
1174005284 Rita Patel Chiropractor 2709 Still Farms Pl, Lawrenceville, GA 30043-6156 2018-09-05
1548760804 Lawrence Spine & Wellness Pa Chiropractor 558 Lawrence Square Blvd South, Lawrenceville, NJ 08648 2018-02-13
1750801205 Revive Medical Center, LLC Chiropractor 753 Old Norcross Rd Ste A, Lawrenceville, GA 30046-4312 2017-06-26
1043602170 Tn Chiropractic Clinic, LLC Chiropractor 1848 Old Norcross Rd Ste A400, Lawrenceville, GA 30044-2311 2015-02-26
1386045706 Bruce R. Brilliantine Chiropractor 2 Princess Road, Suiet #2, Lawrenceville, NJ 08648 2014-09-05
1588079818 Sports Doc LLC Chiropractor 2505 Newpoint Pkwy, Ste 200, Lawrenceville, GA 30043-6003 2014-06-25
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Competitor

Search similar providers

City LAWRENCEVILLE
Zip Code 08648

Improve Information

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Dataset Information

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.

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