Organization Active NPI

Princeton Pediatrics, P.C.

  • Legal Medicine
  • Princeton, WV
National Provider Identifier
1043307572
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
11298 Issued in WV
Legal business name
PRINCETON PEDIATRICS, P.C.
Practice address
216 New Hope Rd
Princeton, WV 24740-2135
Phone
(304) 425-2355
Fax
(304) 487-0092
NPI assigned
Oct 6, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Asma Safder, M.D.NPI 1770547341
Title
President
Phone
(304) 425-2355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 11298 WV Primary

Addresses

Primary practice location

216 New Hope Rd
Princeton, WV 24740-2135

Mailing address

216 New Hope Rd
Princeton, WV 24740-2135
Phone (304) 425-2355

Other identifiers 1

IdentifierTypeStateIssuer
0030251000MedicaidWV

National Provider Directory

National Provider Directory

Locations

216 New Hope Rd
Princeton, WV 24740
Phone (304) 425-2355

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043307572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 NEW HOPE RD",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402135",
            "telephone_number": "304-425-2355",
            "fax_number": "304-487-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 NEW HOPE RD",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402135",
            "telephone_number": "304-425-2355",
            "fax_number": "304-487-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SAFDER",
        "authorized_official_first_name": "ASMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-425-2355",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "WV",
            "license": "11298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030251000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.