PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NON-PROFIT CORPORATION (NPI# 1518009588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518009588 |
Entity Type | Organization |
Organization Name | PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NON-PROFIT CORPORATION |
Other Organization Name | PRINCETON HOUSE BEHAVIORAL HEALTH |
Practice Address |
905 Herrontown Rd Princeton NJ 08540-1901 |
Practice Telephone | 6094973300 |
Mailing Telephone | 6094973300 |
Enumeration Date | 2007-02-13 |
Last Update Date | 2016-08-03 |
Authorized Official Name | MR. GUILHERME SIMOES VALLADARES (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 6098537112 |
Is Organization Subpart | Y |
Parent Organization Name | PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NON-PROFIT CORPORATION |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 276400000X | Rehabilitation, Substance Use Disorder Unit | ========= | NJ | Hospital Units |
Y | 273R00000X | Psychiatric Unit | ========= | NJ | Hospital Units |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | AETNA PH | 0013018 | 01 |
NJ | 4142306 | 05 | |
NJ | AETNA HAM | 7383142 | 01 |
NJ | HORIZON MEDI PH | 310902 | 01 |
NJ | AETNA MTL | 7350660 | 01 |
NJ | AETNA CH | 4455360 | 01 |
NJ | AETNA HERR | 6427074 | 01 |
NJ | AETNA NOB | 4606554 | 01 |
Other Name | Type Code |
---|---|
Princeton House Behavioral Health | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376685297 | Princeton Healthcare System, A New Jersey Non-profit Corporation | Hospice Care, Community Based | 88 Princeton Hightstown Rd, Suite 202, Princeton Junction, NJ 08550-1100 | 2007-02-14 |
1902948821 | Princeton Healthcare System, A New Jersey Non-profit Corporation | Rehabilitation Unit | 1 Plainsboro Rd, Plainsboro, NJ 08536-1913 | 2007-02-14 |
1760524052 | Princeton Healthcare System, A New Jersey Non-profit Corporation | Home Health | 88 Princeton Hightstown Rd, Suite 202, Princeton Junction, NJ 08550-1100 | 2007-02-13 |
1710029046 | Princeton Healthcare System, A New Jersey Non-profit Corporation | Nursing Care | 79 Bayard Ln, Princeton, NJ 08540-3045 | 2007-02-13 |
1689714255 | Princeton Healthcare System, A New Jersey Non-profit Corporation | General Acute Care Hospital | 1 Plainsboro Rd, Plainsboro, NJ 08536-1913 | 2007-02-06 |
Street Address |
905 HERRONTOWN RD |
City | PRINCETON |
State | NJ |
Zip Code | 08540-1901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053351080 | Firoz Pushkin Rahman | Psychiatry & Neurology | 905 Herrontown Rd, Princeton, NJ 08540-1901 | 2006-06-07 |
1306349840 | Jenny Conger | Social Worker | 905 Herrontown Rd, Princeton, NJ 08540-1901 | 2018-03-12 |
1750894259 | Shannon Paskaris | Social Worker | 905 Herrontown Rd, Princeton, NJ 08540-1901 | 2017-11-07 |
1881078681 | Princeton House Provider Group LLC | Psychiatry & Neurology | 905 Herrontown Rd, Princeton, NJ 08540-1901 | 2015-07-13 |
1538560867 | Alexandra Miller | Social Worker | 905 Herrontown Rd, Princeton, NJ 08540-1901 | 2014-09-05 |
1922419431 | Shashi Khanna | Social Worker | 905 Herrontown Rd, Princeton, NJ 08540-1901 | 2014-05-19 |
1841601358 | Rosolyn Fleishman | Social Worker | 905 Herrontown Rd, Princeton, NJ 08540-1901 | 2014-05-19 |
1669894002 | Kathleen Constance Bartolucci | Social Worker | 905 Herrontown Rd, Princeton, NJ 08540-1901 | 2014-01-18 |
1679904569 | Bridget Thoresen | Social Worker | 905 Herrontown Rd, Princeton, NJ 08540-1901 | 2013-12-03 |
1851722953 | Ronald Packard | Social Worker | 905 Herrontown Rd, Princeton, NJ 08540-1901 | 2013-11-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003420613 | Samantha Beatriz Manzano | Pharmacist | 301 N Harrison Street, Princeton, NJ 08540 | 2020-09-01 |
1306485768 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
1124667589 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
1215576673 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 416 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
1508405929 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 411 Freedom Blvd, Princeton, NJ 08540 | 2020-01-02 |
1992369698 | Suzanne Haggerty | Social Worker | 716 Executive Drive, Princeton, NJ 08540 | 2019-04-28 |
1700349552 | Pdp Associates LLC | Social Worker | 3490 Us Highway 1, Building 16 Suite 112, Princeton, NJ 08540 | 2019-04-09 |
1245722438 | Kyle Bonner | Social Worker | 166 Bunn Dr Ste 105, Princeton, NJ 08540 | 2018-06-04 |
1942700125 | Lifetouch Behavioral Health, LLC | Community/Behavioral Health | 112 Commons Way, Building 1, Suite 112, Princeton, NJ 08540 | 2018-02-14 |
1912407271 | Princeton Psychiatry & Consulting, LLC | Psychiatry & Neurology | 601 Ewing St, Suite C-10, Princeton, NJ 08540 | 2018-02-13 |
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Taxonomy Code | 273R00000X |
Grouping | Hospital Units |
Classification | Psychiatric Unit |
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235311044 | Princeton Community Hospital Association, Inc. | Psychiatric Unit | 122 12th Street Ext, Princeton, WV 24740-2352 | 2007-12-04 |
1619053329 | Princeton Community Hospital Assn. Inc. | Psychiatric Unit | 122 12th Street Ext, Princeton, WV 24740-2352 | 2006-10-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376024075 | Rwj Barnabashealth - Jersey City Medical Center | Psychiatric Unit | 1805 Jfk Blvd, Jersey City, NJ 07302 | 2018-08-22 |
1053574368 | Princeton House Behavioral Health | Psychiatric Unit | 375 North Kings Highway, Cherry Hill, NJ 08034-1013 | 2008-07-07 |
1114138757 | Trinitas Regional Medical Center | Psychiatric Unit | 655 Livingston Avenue, Trinitas Hiv Clinc, Elizabeth, NJ 07206 | 2007-05-25 |
1285630087 | Virtua Willingboro Hospital, Inc. | Psychiatric Unit | 218a Sunset Road, Willingboro, NJ 08046-1110 | 2005-06-27 |
1790789212 | Ahs Hospital Corp | Psychiatric Unit | 175 High St, Newton, NJ 07860-1004 | 2005-06-13 |
1831722586 | Prime Healthcare Services - St. Mary's Passaic LLC | Psychiatric Unit | 350 Boulevard, Passaic, NJ 07055-2840 | 2020-02-20 |
1932747326 | Inspira Medical Centers, Inc. | Psychiatric Unit | 509 N Broad St, Woodbury, NJ 08096-1617 | 2019-12-16 |
1053894022 | Hmh Hospitals Corporation | Psychiatric Unit | 1945 Route 33, Neptune, NJ 07753-4859 | 2018-09-14 |
1174035604 | Ahs Hospital Corp. | Psychiatric Unit | 175 High St, Newton, NJ 07860-1004 | 2017-10-24 |
1790225761 | Meridian Hospitals | Psychiatric Unit | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2017-02-24 |
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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.