PRINCETON HEART GROUP (NPI# 1063629814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063629814 |
| Entity Type | Organization |
| Organization Name | PRINCETON HEART GROUP |
| Practice Address |
253 Witherspoon St Princeton NJ 08540-3211 |
| Mailing Address |
4 Princess Rd Suite #207 Lawrenceville NJ 08648-2322 |
| Practice Telephone | 6097347600 |
| Practice Fax Number | 6098441092 |
| Mailing Telephone | 6097347600 |
| Mailing Fax Number | 6098441092 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2009-01-22 |
| Authorized Official Name | BRUCE TRAUB (CFO) |
| Authorized Official Telephone | 6097347600 |
| Authorized Official Credential | RESPONSIBLE MANA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6120806 | 05 |
| Street Address |
253 WITHERSPOON ST |
| City | PRINCETON |
| State | NJ |
| Zip Code | 08540-3211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306823778 | Andrew Hanyoung Kim | Anesthesiology | 253 Witherspoon St, Princeton Anesthesia Services, Princeton, NJ 08540-3211 | 2005-12-28 |
| 1083955967 | Caitlin M Werther | Nurse Practitioner | 253 Witherspoon St, Princeton, NJ 08540-3211 | 2013-03-03 |
| 1932468014 | Maggie Moran | Counselor | 253 Witherspoon St, Princeton, NJ 08540-3211 | 2012-05-10 |
| 1841559937 | Veronika Papp | Social Worker | 253 Witherspoon St, Princeton, NJ 08540-3211 | 2012-05-09 |
| 1710252382 | Elizabeth Moore | Dietitian, Registered | 253 Witherspoon St, Princeton, NJ 08540-3211 | 2012-03-15 |
| 1457654691 | Jennifer Windish | Dietitian, Registered | 253 Witherspoon St, Princeton, NJ 08540-3211 | 2010-12-09 |
| 1043544182 | Rachel Huber | Dietitian, Registered | 253 Witherspoon St, Princeton, NJ 08540-3211 | 2009-09-22 |
| 1114251436 | Allison Tara Lansky | Counselor | 253 Witherspoon St, Princeton, NJ 08540-3211 | 2009-09-21 |
| 1770817090 | Margo Leigh Hurewitz | Psychologist | 253 Witherspoon St, Princeton, NJ 08540-3211 | 2009-09-21 |
| 1477796811 | Jennifer Grantham Erskine | Internal Medicine | 253 Witherspoon St, Lambert House 2nd Floor, Princeton, NJ 08540-3211 | 2009-04-15 |
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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 | 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 |
|---|---|---|---|---|
| 1497024210 | Enrico Paul Veltri | Internal Medicine | 6 Toftrees Ct, Princeton, NJ 08540-4217 | 2011-12-22 |
| 1578603692 | Fredrick M Weinberg | Internal Medicine | 193 N Harrison St, Princeton, NJ 08540-3517 | 2007-02-07 |
| 1366472151 | Rogelio M Pine | Internal Medicine | 253 Witherspoon St Fl 2, Lamnert House, Medical Ctr At Princeton, Princeton, NJ 08540-3211 | 2006-07-04 |
| 1851320634 | T J Mercuro | Internal Medicine | 800 Bunn Dr., Suite 101, Princeton, NJ 08540-1968 | 2006-07-02 |
| 1831180942 | David P Hall | Internal Medicine | 114 Edwards St, Princeton, KY 42445-2217 | 2005-10-31 |
| 1295015147 | 247 Heart & Vascular Management, Inc. | Internal Medicine | 211 Commons Way, Suite 211, Princeton, NJ 08540-1508 | 2011-08-24 |
| 1104143148 | Casey Wong | Internal Medicine | 419 N Harrison St, Princeton, NJ 08540-3521 | 2010-04-30 |
| 1396970208 | Desiree Marie Younes | Internal Medicine | 731 Alexander Rd, Suite 202, Princeton, NJ 08540-6345 | 2009-05-20 |
| 1578797981 | 247 Heart and Vascular Specialists PC | Internal Medicine | 211 Commons Way, Suite 211, Princeton, NJ 08540-1508 | 2009-05-13 |
| 1215190988 | Hrak Chemchirian | Internal Medicine | 508 New Hope Rd, #7, Princeton, WV 24740-2264 | 2008-07-03 |
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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.