Organization Active NPI

Laura Shwahla

  • Community/Behavioral Health Agency
  • Princeton, NJ
National Provider Identifier
1053641050
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
44SC05297400 Issued in NJ
Legal business name
LAURA SHWAHLA
Practice address
12 Roszel Rd Ste C202
Princeton, NJ 08540
Phone
(609) 510-8848
NPI assigned
Jan 13, 2010
Last updated
Mar 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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

Authorized official

Name
Miss Laura Shwahla, LCSWNPI 1003098492
Title
Member
Phone
(609) 510-8848

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
Community/Behavioral Health Agency 251S00000X 44SC05297400 NJ Primary

Addresses

Primary practice location

12 Roszel Rd Ste C202
Princeton, NJ 08540

Mailing address

12 Roszel Rd Ste C202
Princeton, NJ 08540-6250
Phone (609) 510-8848

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100204000835 NJ Part B Supplier - Clinic/Group Practice 5193868735 Receives reassigned benefits from 1 practitioner
Practice locations: Robbinsville, NJ

National Provider Directory

National Provider Directory

Locations

12 Roszel Rd
Ste C202
Princeton, NJ 08540
Phone (609) 510-8848

Practitioners & affiliated clinicians

Practitioners 1

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": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552003200000",
    "number": "1053641050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ROSZEL RD STE C202",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406250",
            "telephone_number": "609-510-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ROSZEL RD STE C202",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "08540",
            "telephone_number": "609-510-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA SHWAHLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2019-03-08",
        "status": "A",
        "authorized_official_last_name": "SHWAHLA",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "609-510-8848",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC05297400",
            "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 Mar 8, 2019; 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.