Organization Active NPI

Prakash Amin ,MD , PA

  • Psychiatry Physician
  • Mercerville, NJ
National Provider Identifier
1053529628
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PRAKASH AMIN ,MD , PA
Practice address
2211 Whitehorse-Mercerville Road
Mercerville, NJ 08619
Phone
(698) 587-2255
Fax
(609) 587-7255
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Prakash P Amin, MDNPI 1750452744
Title
President
Phone
(609) 587-2255

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

2211 Whitehorse-Mercerville Road
Mercerville, NJ 08619

Mailing address

2211 Whitehorse-Mercerville Road
Mercerville, NJ 08619
Phone (698) 587-2255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041104001013 NJ Part B Supplier - Clinic/Group Practice 4880657485 Receives reassigned benefits from 3 practitioners
Practice locations: Mercerville, NJ

National Provider Directory

National Provider Directory

Locations

2211 Whitehorse Mercerville Rd
Trenton, NJ 08619
Phone (609) 587-2255

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053529628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 WHITEHORSE-MERCERVILLE ROAD",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "08619",
            "telephone_number": "698-587-2255",
            "fax_number": "609-587-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 WHITEHORSE-MERCERVILLE ROAD",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "08619",
            "telephone_number": "698-587-2255",
            "fax_number": "609-587-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAKASH AMIN ,MD , PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "PRAKASH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-587-2255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.