Active NPI
Subhashis Banerjee, M.D.
- Internal Medicine Physician
- Princeton, NJ
National Provider Identifier
1013074418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01068926A
- Practice address
- 3551 Lawrenceville Rd
Princeton, NJ 08540-4715 - Phone
- (609) 252-7269
- NPI assigned
- Jan 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01068926A | IN | Primary |
Addresses
Primary practice location
3551 Lawrenceville Rd
Princeton, NJ 08540-4715
Mailing address
60 Treetops Cir
Princeton, NJ 08540-8581
Phone (609) 997-0690
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01068926A | IN | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398038400000",
"number": "1013074418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 TREETOPS CIR",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085408581",
"telephone_number": "609-997-0690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 LAWRENCEVILLE RD",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085404715",
"telephone_number": "609-252-7269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANERJEE",
"first_name": "SUBHASHIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2014-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01068926A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.