PRINCETON ENDOSCOPY CENTER LLC (NPI# 1578525283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578525283 |
Entity Type | Organization |
Organization Name | PRINCETON ENDOSCOPY CENTER LLC |
Practice Address |
731 Alexander Rd Suite 104 Princeton NJ 08540-6345 |
Mailing Address |
215 Jamestown Park Suite 205 Brentwood TN 37027-7500 |
Practice Telephone | 6094521111 |
Mailing Telephone | 6156209300 |
Enumeration Date | 2006-04-06 |
Last Update Date | 2013-09-26 |
Authorized Official Name | MR. RODNEY H. LUNN (MANAGING PARTNER) |
Authorized Official Telephone | 6156209300 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
23447 | NJ | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | AMERIHEALTH | 0005288000 | 01 |
NJ | UNITED HEALTHCARE | 0136003 | 01 |
NJ | BLUE CROSS & BLUE SHIELD | 311189 | 01 |
NJ | AETNA | 7630779 | 01 |
Street Address |
731 ALEXANDER RD SUITE 104 |
City | PRINCETON |
State | NJ |
Zip Code | 08540-6345 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639179252 | Robert F Meirowitz | Internal Medicine | 731 Alexander Rd, Suite 100, Princeton, NJ 08540-6345 | 2005-07-26 |
1689964546 | Aaron Bellows | Internal Medicine | 731 Alexander Rd, Suite 100, Princeton, NJ 08540-6345 | 2011-04-13 |
1396970208 | Desiree Marie Younes | Internal Medicine | 731 Alexander Rd, Suite 202, Princeton, NJ 08540-6345 | 2009-05-20 |
1164665998 | Amy Rubin Shriver | Internal Medicine | 731 Alexander Rd, Suite 100, Princeton, NJ 08540-6345 | 2009-04-09 |
1659390193 | Lynne Becker Kossow | Internal Medicine | 731 Alexander Rd, Ste 200, Princeton, NJ 08540-6345 | 2006-07-18 |
1912926452 | Barbara Ann Brown | Internal Medicine | 731 Alexander Rd, Suite 200, Princeton, NJ 08540 | 2006-07-18 |
1881635084 | Andrew J Shanahan | Specialist | 731 Alexander Rd, 202, Princeton, NJ 08540-6345 | 2006-06-09 |
1760422489 | Johnathan B Mccabe | Specialist | 731 Alexander Rd, 202, Princeton, NJ 08540-6345 | 2006-06-08 |
1417904509 | Banu Mahalingham | Specialist | 731 Alexander Rd, Suite 202, Princeton, NJ 08540-6345 | 2006-05-27 |
1396746962 | Princeton Gastroenterology Assoc | Internal Medicine | 731 Alexander Rd, Suite 100, Princeton, NJ 08540-6345 | 2005-08-09 |
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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 | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
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1265565659 | Urology Surgical Practice of Princeton | Clinic/Center | 281 Witherspoon St, Suite P, Princeton, NJ 08540-3210 | 2007-03-14 |
1609913037 | Princeton Surgiplex LLC | Clinic/Center | 932 State Rd, Ste H, Princeton, NJ 08540-1445 | 2007-02-01 |
1144373648 | Princeton Surgery Center, LLC | Clinic/Center | 2030 Sherman Dr, Princeton, IN 47670-1045 | 2007-01-19 |
1801961313 | Princeton Eye Group Pa | Clinic/Center | 419 N Harrison St, Suite 104, Princeton, NJ 08540-3521 | 2006-11-21 |
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1780217034 | Modern Medicine Surgical Center, LLC | Clinic/Center | 633 From Rd, Paramus, NJ 07652-3514 | 2020-02-14 |
1629612437 | Asc of New Jersey LLC | Clinic/Center | 5 Progress St Ste 2, Edison, NJ 08820-1102 | 2019-11-05 |
1942841143 | Global Surgery Center LLC | Clinic/Center | 680 Kinderkamack Rd Ste 100, Oradell, NJ 07649-1600 | 2019-09-30 |
1710440045 | Access Care Physicians of Nj LLC | Clinic/Center | 2401 Morris Ave Ste W-112, Union, NJ 07083-5745 | 2019-04-12 |
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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.