PRINCETON HEALTHCARE PROVIDER GROUP LLC (NPI# 1770950214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770950214 |
| Entity Type | Organization |
| Organization Name | PRINCETON HEALTHCARE PROVIDER GROUP LLC |
| Other Organization Name | PRINCETON MEDICINE HEART GROUP |
| Practice Address |
1 Plainsboro Rd Sands Center for Cardiac and Pulmonary Care Plainsboro NJ 08536-1913 |
| Mailing Address |
4 Princess Rd Suite 207 Lawrenceville NJ 08648-2322 |
| Practice Telephone | 6098537885 |
| Practice Fax Number | 6098537886 |
| Mailing Telephone | 6092430445 |
| Mailing Fax Number | 6098441092 |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2020-10-29 |
| Authorized Official Name | STEVEN R BERGMANN (PRESIDENT) |
| Authorized Official Telephone | 6098537220 |
| Authorized Official Credential | MD, PHD |
| Is Organization Subpart | Y |
| Parent Organization Name | PRINCETON HEALTHCARE PROVIDER GROUP LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Princeton Medicine Heart Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316314859 | Princeton Healthcare Provider Group LLC | Pediatrics | 1 Plainsboro Rd, 6th Floor, Plainsboro, NJ 08536-1913 | 2015-09-01 |
| 1699141507 | Princeton Healthcare Provider Group LLC | Internal Medicine | 1 Plainsboro Rd, Plainsboro, NJ 08536-1913 | 2015-08-14 |
| Street Address |
1 PLAINSBORO RD SANDS CENTER FOR CARDIAC AND PULMONARY CARE |
| 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 |
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| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972588515 | Steven R Bergmann | Internal Medicine | 1 Plainsboro Rd, Plainsboro, NJ 08536-1913 | 2005-12-07 |
| 1699141507 | Princeton Healthcare Provider Group LLC | Internal Medicine | 1 Plainsboro Rd, Plainsboro, NJ 08536-1913 | 2015-08-14 |
| 1346477924 | Princeton Healthcare Affiliated Physicians PC | Internal Medicine | 1 Plainsboro Rd, Sands Center for Cardiac and Pulmonay Care, Plainsboro, NJ 08536-1913 | 2009-06-22 |
| 1497962815 | Lisa S Motavalli | Internal Medicine | 5 Plainsboro Rd, Suite 300, Plainsboro, NJ 08536 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770109688 | Cardioconsultz Professional Corporation | Internal Medicine | 512 Washington Ter, Audubon, NJ 08106-2221 | 2020-06-17 |
| 1558994566 | Comprehensive Cardiovascular Consultants of Nj | Internal Medicine | 575 Route 28 Ste 3107, Raritan, NJ 08869-1354 | 2020-02-18 |
| 1992342349 | Heart & Vascular Care Consultants LLC | Internal Medicine | 3379 Quakerbridge Rd Ste 201, Hamilton, NJ 08619-1269 | 2019-12-04 |
| 1083269146 | Helio Malinverni Md Pa | Internal Medicine | 100 Federal City Rd Ste C-103, Lawrenceville, NJ 08648-1664 | 2019-08-06 |
| 1437718855 | Optimum Heart & Medical Care LLC | Internal Medicine | 172 Summerhill Rd Ste 4, East Brunswick, NJ 08816 | 2019-06-10 |
| 1760946974 | Advanced Medical & Cosmetic Center LLC | Internal Medicine | 208 Harristown Rd # Ll-2a, Glen Rock, NJ 07452-3308 | 2019-01-22 |
| 1447765102 | Consultative Cardiology LLC | Internal Medicine | 115 Van Cleef, Whitehouse Station, NJ 08889-3746 | 2017-12-04 |
| 1124531280 | Christiana Care Health Initiatives | Internal Medicine | 125 East Ave Ste D, Woodstown, NJ 08098-1351 | 2017-11-13 |
| 1427569938 | Paul Deutsch | Internal Medicine | 30 Brinkerhoff Ave, Teaneck, NJ 07666-3126 | 2017-10-24 |
| 1174064984 | Szt Medical LLC | Internal Medicine | 424 Hidden Valley Ct, Wyckoff, NJ 07481-1557 | 2017-03-13 |
| Find all providers with the same taxonomy | ||||
| City | PLAINSBORO |
| Zip Code | 08536 |
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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.