PRINCETON HEALTHCARE SYSTEM A NEW JERSEY NON-PROFIT CORP (NPI# 1629144720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629144720 |
| Entity Type | Organization |
| Organization Name | PRINCETON HEALTHCARE SYSTEM A NEW JERSEY NON-PROFIT CORP |
| Other Organization Name | PENN MEDICINE PRINCETON HEALTH OUTPATIENT PHARMACY |
| Practice Address |
1 Plainsboro Rd Plainsboro NJ 08536-1913 |
| Practice Telephone | 6098536130 |
| Practice Fax Number | 6098536128 |
| Mailing Telephone | 6098536130 |
| Mailing Fax Number | 6098536128 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | JAMES DEMETRIADES (VICE PRESIDENT) |
| Authorized Official Telephone | 6098536113 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
28RS00426800 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2055085 | 01 | |
| NJ | 6471404 | 05 |
| Other Name | Type Code |
|---|---|
| Penn Medicine Princeton Health outpatient pharmacy | Doing Business As Name - Organization |
| Street Address |
1 PLAINSBORO RD |
| City | PLAINSBORO |
| State | NJ |
| Zip Code | 08536-1913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972588515 | Steven R Bergmann | Internal Medicine | 1 Plainsboro Rd, Plainsboro, NJ 08536-1913 | 2005-12-07 |
| 1053952044 | Meha Patel | Physician Assistant | 1 Plainsboro Rd, Plainsboro, NJ 08536-1913 | 2019-10-01 |
| 1093364648 | Randi Killian | Emergency Medicine | 1 Plainsboro Rd, Plainsboro, NJ 08536-1913 | 2019-09-06 |
| 1366098865 | Joyce C. Hertzog | Nurse Practitioner | 1 Plainsboro Rd, Plainsboro, NJ 08536-1913 | 2019-08-12 |
| 1366006876 | Jennifer Bousenberry | Registered Nurse | 1 Plainsboro Rd, Plainsboro, NJ 08536-1913 | 2019-04-30 |
| 1912463498 | Dhp of Princeton, Pa | Obstetrics & Gynecology | 1 Plainsboro Rd, Plainsboro, NJ 08536-1913 | 2019-02-20 |
| 1356840979 | Kristin M. Kreider | Registered Nurse | 1 Plainsboro Rd, Plainsboro, NJ 08536-1913 | 2018-02-09 |
| 1609374735 | Mehreen Husain | Dietitian, Registered | 1 Plainsboro Rd, Plainsboro, NJ 08536-1913 | 2018-01-23 |
| 1467970798 | Maria Victoria Regencia | Nurse Practitioner | 1 Plainsboro Rd, Plainsboro, NJ 08536-1913 | 2017-09-07 |
| 1710413125 | Kiersten M Scully | Registered Nurse | 1 Plainsboro Rd, Plainsboro, NJ 08536-1913 | 2017-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518524768 | Eden Autism Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 13101 Rue Terrace, Plainsboro, NJ 08536 | 2019-05-23 |
| 1629635867 | Eden Autism Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 13104 Rue Terrace, Plainsboro, NJ 08536 | 2019-05-23 |
| 1720575178 | Life Clinic of Nj Dc Pa | Chiropractor | 7 Forrestal Road S, Plainsborough, NJ 08536 | 2018-04-20 |
| 1124527437 | Lee-yen Shu | Physical Therapist | 408 Plainsboro Road, Plainsboro, NJ 08536 | 2018-02-02 |
| 1295261543 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15-15 Quail Ridge Dr, Plainsboro, NJ 08536 | 2017-05-05 |
| 1972039212 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 24-11 Quail Ridge Dr, Plainsboro, NJ 08536 | 2017-05-05 |
| 1669908901 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 28-01 Quail Ridge Dr, Plainsboro, NJ 08536 | 2017-05-05 |
| 1831625177 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 43-01 Quail Ridge Dr, Plainsboro, NJ 08536 | 2017-05-05 |
| 1659807998 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 53-01 Quail Ridge Dr, Plainsboro, NJ 08536 | 2017-05-05 |
| 1205218971 | Bancroft Neurohealth | Clinic/Center | 666 Plainsboro Road Suite 2000c, Plainsboro, NJ 08536 | 2015-06-18 |
| Find all providers in zip 08536 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787938 | Bonhamtown Pharmacy LLC | Pharmacy | 2853 Woodbridge Ave, Suite 8, Edison, NJ 08837 | 2020-10-12 |
| 1881292894 | Morristown Rx LLC | Pharmacy | 95 Madison Ave Ste 110, Morristown, NJ 07960-7331 | 2020-10-12 |
| 1720686900 | Rome Rx LLC | Pharmacy | 3131 Route 38 Ste 20, Mount Laurel, NJ 08054-9764 | 2020-10-11 |
| 1255939492 | Jj Pharmacy | Pharmacy | 119 Broad Ave, Palisades Park, NJ 07650-1441 | 2020-10-10 |
| 1376150011 | Ryten Rx, LLC | Pharmacy | 458 Amboy Ave Ste 2, Woodbridge, NJ 07095-2948 | 2020-09-27 |
| 1578170569 | New Jersery Cvs Pharmacy LLC | Pharmacy | 750 Memorial Pkwy, Phillipsburg, NJ 08865-1679 | 2020-09-24 |
| 1770196693 | Dharmsutay LLC | Pharmacy | 1905 Route 88 Ste 5, Brick, NJ 08724-3156 | 2020-08-29 |
| 1598376030 | Westside Pharmacy LLC | Pharmacy | 455 West Side Ave, Jersey City, NJ 07304-1425 | 2020-08-10 |
| 1245848993 | Plaza Pharmacy Corp | Pharmacy | 84 Veronica Ave Ste A107, Somerset, NJ 08873-3529 | 2020-07-20 |
| 1285242008 | Cure Rx Pharmacy PC | Pharmacy | 600 Mule Rd Unit 2, Toms River, NJ 08757-6460 | 2020-07-17 |
| Find all providers with the same taxonomy | ||||
| City | PLAINSBORO |
| Zip Code | 08536 |
Please comment or provide details below to improve the information on PRINCETON HEALTHCARE SYSTEM A NEW JERSEY NON-PROFIT CORP.
| 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.