PRINCETON HEALTHCARE SYSTEM (NPI# 1871978577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871978577 |
| Entity Type | Organization |
| Organization Name | PRINCETON HEALTHCARE SYSTEM |
| Other Organization Name | PRINCETON HOUSE BEHAVIORAL HEALTH |
| Practice Address |
615 Hope Rd Eatontown NJ 07724-1277 |
| Practice Telephone | 8482082600 |
| Practice Fax Number | 8482082601 |
| Mailing Telephone | 8482082600 |
| Mailing Fax Number | 8482082601 |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2015-07-23 |
| Authorized Official Name | DR. PETER THOMAS (VICE PRESIDENT, OUTPATIENT) |
| Authorized Official Telephone | 6094973351 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | NJ | Hospitals |
| Other Name | Type Code |
|---|---|
| Princeton House Behavioral Health | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346363546 | Princeton Healthcare System | Psychiatric Hospital | 905 Herrontown Rd, Princeton, NJ 08540-1901 | 2007-04-10 |
| 1295853117 | Princeton Healthcare System | Community/Behavioral Health | 1460 Livingston Ave, North Brunswick, NJ 08902-1873 | 2007-03-27 |
| Street Address |
615 HOPE RD |
| City | EATONTOWN |
| State | NJ |
| Zip Code | 07724-1277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205812005 | Saad A Saad | Surgery | 615 Hope Rd, Bld 1 A, Eatontown, NJ 07724-1277 | 2005-12-22 |
| 1497261440 | Katie Blossfeld | Social Worker | 615 Hope Rd, Eatontown, NJ 07724-1277 | 2017-12-28 |
| 1174064489 | Ashley Shanahan | Counselor | 615 Hope Rd, Eatontown, NJ 07724-1277 | 2017-03-20 |
| 1760923684 | Alternatives Inc. | Community/Behavioral Health | 615 Hope Rd, Bldg 2, Eatontown, NJ 07724-1277 | 2017-03-10 |
| 1033657085 | Heather Koenigsfest | Counselor | 615 Hope Rd, Building 3a, Eatontown, NJ 07724-1277 | 2017-02-09 |
| 1407201627 | Geralda Vilus | Nurse Practitioner | 615 Hope Rd, 5a, Eatontown, NJ 07724-1277 | 2016-04-25 |
| 1558723148 | Clearwaters Health and Wellness | Registered Nurse | 615 Hope Rd, Building 5b, Eatontown, NJ 07724-1277 | 2016-03-23 |
| 1396100020 | Joanne Peterson | Nurse Practitioner | 615 Hope Rd, Building 5a, Eatontown, NJ 07724-1277 | 2015-12-23 |
| 1144617887 | Matthew Benedict Ona | Registered Nurse | 615 Hope Rd, Bldg 5 Visiting Physician Services, Eatontown, NJ 07724-1277 | 2015-04-21 |
| 1528455227 | Elizabeth Rodrigues | Nurse Practitioner | 615 Hope Rd, Building 5a, Eatontown, NJ 07724-1277 | 2015-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719788 | Zsanae Lewis | Driver | 1 Main St Unit 401, Eatontown, NJ 07724 | 2019-06-18 |
| 1417419169 | Refocus | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 613 Hope Road, Building 5 and 2, Eatontown, NJ 07724 | 2019-04-02 |
| 1215401575 | Angela Fordham-lewis | Day Training/Habilitation Specialist | 613 Hope Road, Building #2, Eatontown, NJ 07724 | 2019-01-18 |
| 1174094312 | Patti Kousoulis | Counselor | 10 Industrial Way East, Eatontown, NJ 07724 | 2018-12-16 |
| 1649745589 | Jersey Shore Dental Spa LLC | Dentist | 613 Hope Road Building 5, Eatontown, NJ 07724 | 2018-10-08 |
| 1487135448 | A2z Diagnostics LLC | Pathology | 6 Industrial Way W Ste F19, Eatontown, NJ 07724 | 2018-08-27 |
| 1942708268 | Elyce Jackson | Counselor | 10 Industrial Way, Eatontown, NJ 07724 | 2018-02-01 |
| 1477065894 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 249, Eatontown, NJ 07724 | 2017-10-25 |
| 1639681059 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 277, Eatontown, NJ 07724 | 2017-10-25 |
| 1669998100 | Seacrest Recovery Center North Jersey, LLC | Psychologist | 162 Highway 35, Eatontown, NJ 07724 | 2017-08-16 |
| Find all providers in zip 07724 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275158529 | Retreat & Recovery At Ramapo Valley | Psychiatric Hospital | 1071 Ramapo Valley Rd, Mahwah, NJ 07430 | 2020-06-12 |
| 1639546930 | Clear Conscience Counseling | Psychiatric Hospital | 214 Brennan Ct, South Plainfield, NJ 07080-3974 | 2015-08-21 |
| 1750794061 | Trinitas Regional Medical Center | Psychiatric Hospital | 119 E 13th St, Linden, NJ 07036-3314 | 2014-06-04 |
| 1770717100 | Manhattan Psy.ctr | Psychiatric Hospital | 346 Mercer Loop, Jersey City, NJ 07302-3235 | 2009-05-13 |
| 1891817433 | Princeton Medical Center | Psychiatric Hospital | 351 New Albany Rd, Moorestown, NJ 08057-1117 | 2007-04-04 |
| 1053470047 | Hudson Co Board of Chosen Freehold Admin | Psychiatric Hospital | 595 County Ave Bldg 10, Secaucus, NJ 07094-2605 | 2006-12-06 |
| 1851474647 | Ann Klein Forensic Center | Psychiatric Hospital | 1609 Stuyvesant Ave., Box 7717, West Trenton, NJ 08628 | 2006-10-23 |
| 1720170087 | Kingsboro Psychiatric Center | Psychiatric Hospital | 24 Laurel Avenue, Tenafly, NJ 07670 | 2006-09-28 |
| 1689682478 | U.S. Dept. of Veterans Affairs | Psychiatric Hospital | 155 Knollcroft Rd, Building 143,room Wii8, Lyons, NJ 07939-5001 | 2006-08-04 |
| 1457324196 | Uhs of Hampton Inc | Psychiatric Hospital | 650 Rancocas Rd, Westampton, NJ 08060-5613 | 2006-02-13 |
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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.