Individual provider Active NPI

Eugene Samuel Gamburg, M.D.

  • Obstetrics & Gynecology Physician
  • Lawrenceville, NJ
National Provider Identifier
1043293624
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA07437400 Issued in NJ
Practice address
2 Princess Rd
Suite C
Lawrenceville, NJ 08648-2320
Phone
(609) 896-0777
Fax
(609) 896-3266
NPI assigned
Nov 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA07437400 NJ Primary

Addresses

Primary practice location

2 Princess Rd
Suite C
Lawrenceville, NJ 08648-2320

Mailing address

2 Princess Rd
Suite C
Lawrenceville, NJ 08648-2320
Phone (609) 896-0777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040310000114 NJ Practitioner - Obstetrics/GynecologyPractitioner - Gynecological Oncology 9931097946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Kentucky College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifeline Medical Associates LLCGroup PAC ID 1456332170, 155 clinicians

Practice addresses (Care Compare)

2 Princess Rd
Suite C
Lawrenceville, NJ 08648-2320
Phone (609) 896-0777

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07437400NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHP of Princeton, PA Obstetrics & Gynecology CurrentSince Jul 1, 2019 Accepting new patients
Princeton-Windsor Obstetrics and Gynecology, PA Obstetrics & Gynecology Past Accepting new patients

Locations

1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000

Interoperability endpoints

  • Direct secure messaging: eugene.gamburg.1@27010.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306800000000",
    "number": "1043293624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PRINCESS RD",
            "address_2": "SUITE C",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482320",
            "telephone_number": "609-896-0777",
            "fax_number": "609-896-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PRINCESS RD",
            "address_2": "SUITE C",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482320",
            "telephone_number": "609-896-0777",
            "fax_number": "609-896-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBURG",
        "first_name": "EUGENE",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2011-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA07437400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.