PRINCETON NEONATOLOGY GROUP (NPI# 1528275450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528275450 |
| Entity Type | Organization |
| Organization Name | PRINCETON NEONATOLOGY GROUP |
| Practice Address |
253 Witherspoon St Princeton NJ 08540-3211 |
| Mailing Address |
3626 Us Highway 1 Princeton NJ 08540-5922 |
| Practice Telephone | 6094974443 |
| Mailing Telephone | 6097347600 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ANTHONY MARINO (MD) |
| Authorized Official Telephone | 6094974443 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
Allopathic & Osteopathic Physicians |
| 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 |
| Find all providers in zip 08540 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427265263 | Infant Hearing Program of Princeton | Pediatrics | 253 Witherspoon St, Princeton, NJ 08540-3211 | 2007-05-17 |
| 1275564817 | Anthony Joseph Marino | Pediatrics | 253 Witherspoon St, Princeton, NJ 08540-3211 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710404454 | Onsite Neonatal PC | Pediatrics | 1000 Haddonfield Berlin Road, Suite 210, Voorhees, NJ 08043-3520 | 2017-08-24 |
| 1790126183 | Marwa A Khalil | Pediatrics | 1 Robert Wood Johnson Pl # 08901, Meb-312, New Brunswick, NJ 08901-1928 | 2013-07-13 |
| 1427398536 | Aelia Inc | Pediatrics | 405 Gregory Rd, Paramus, NJ 07652-2117 | 2013-02-26 |
| 1376782060 | Midatlantic Neonatology Associates | Pediatrics | 140 E Hanover Ave, Brinj Bldg, Cedar Knolls, NJ 07927-2011 | 2009-02-19 |
| 1952571515 | John Freddy Ladino | Pediatrics | 100 Madison Ave # 85, Morristown, NJ 07960-6136 | 2008-03-10 |
| 1205040425 | Fawaz Kashlan | Pediatrics | 5 Springhouse Rd, Ocean, NJ 07712-3727 | 2007-05-09 |
| 1134243389 | Robert L Simon | Pediatrics | 34 Cedar Ln, Bridgeton, NJ 08302-7152 | 2007-03-16 |
| 1902938988 | Chung J Peng | Pediatrics | 1 Blackberry Ln, North Caldwell, NJ 07006-4170 | 2007-03-12 |
| 1285701094 | Mary Beth Browne | Pediatrics | 1571 Horseshoe Dr, Manasquan, NJ 08736-2700 | 2006-11-29 |
| 1922182310 | Judy G Saslow | Pediatrics | One Cooper Plaza 7th Floor Dorrance, Camden, NJ 08103 | 2006-10-24 |
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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.