Princeton Medical and Behavioral Health, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRINCETON MEDICAL AND BEHAVIORAL HEALTH, LLC

Practice address

957 Route 33
Suite 390
Hamilton Square, NJ 08690-2727

Phone

(609) 585-1122

Fax

(609) 585-0309

NPI assigned

Jun 12, 2014

Organization subpart

No

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

Authorized official

Name

Randa F. Mina, MD

Title

Joint Owner

Phone

(609) 585-1122

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1053725515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 ROUTE 33",
            "address_2": "SUITE 390",
            "city": "HAMILTON SQUARE",
            "state": "NJ",
            "postal_code": "086902727",
            "telephone_number": "609-585-1122",
            "fax_number": "609-585-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 ROUTE 33",
            "address_2": "SUITE 390",
            "city": "HAMILTON SQUARE",
            "state": "NJ",
            "postal_code": "086902727",
            "telephone_number": "609-585-1122",
            "fax_number": "609-585-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON MEDICAL AND BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-12",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "MINA",
        "authorized_official_first_name": "RANDA",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "JOINT OWNER",
        "authorized_official_telephone_number": "609-585-1122",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keya Patel, R.D., CNSC
• Pinali Patel, PHARM.D.
• Rachel Peebles, OD
• Susan Persichetti, PT
• Princeton Healthcare Affiliated Physicians PC (Hamilton Medical Group - Princeton Medicine)
• Deolinda Reverendo, DMD
• Stephen Rogow, DMD
• Elizabeth A Rosvold, M.D.
• Nicole Sabatino
• Feroz Safdar, M.D.

• Internal Medicine Physician in Hamilton Square, NJ
• Providers in Hamilton Square, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.

Verify at the official NPI Registry.