Princeton Medical Group,P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRINCETON MEDICAL GROUP,P.A.

Practice address

419 N Harrison St
Suite 203
Princeton, NJ 08540-3521

Phone

(609) 924-9300

Fax

(609) 430-9481

NPI assigned

Sep 26, 2006

Last updated

Nov 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Susana S Gummel

Title

Cfo

Phone

(609) 924-9300

Specialties & licenses 14

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 56

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.

• Diane Lori Albala, NP

  • Nurse Practitioner
  • Princeton, NJ
  • NPI 1275567687
  Medicare reassignment Care Compare group NPD
• Riju Banerjee, MD

  • Cardiovascular Disease Physician
  • Princeton, NJ
  • NPI 1417343674

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• William Barton, MD

  • Pulmonary Disease Physician
  • Princeton, NJ
  • NPI 1710024641
  Medicare reassignment Care Compare group NPD
• Thomas R Blom, M.D.

  • Hematology & Oncology Physician
  • Princeton, NJ
  • NPI 1932304599

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Frances Y Chang, MD

  • Internal Medicine Physician
  • Princeton, NJ
  • NPI 1316996960
  Medicare reassignment Care Compare group NPD
• Ashgan Elshinawy, DO

  • Pulmonary Disease Physician
  • Monroe, NJ
  • NPI 1417907528
  Medicare reassignment Care Compare group NPD
• Rinku Gandhi, AGACNP-BC

  • Adult Health Nurse Practitioner
  • Princeton, NJ
  • NPI 1033942032
  Medicare reassignment Care Compare group NPD
• Benjamin E Gitterman, M.D.

  • Internal Medicine Physician
  • Princeton, NJ
  • NPI 1447349162
  Medicare reassignment Care Compare group NPD
• Joyce H Glazer, M.D.

  • Internal Medicine Physician
  • Princeton, NJ
  • NPI 1104915552
  Medicare reassignment Care Compare group NPD
• Joseph Ho, M.D.

  • Hematology & Oncology Physician
  • Plainsboro, NJ
  • NPI 1548715998
  Medicare reassignment Care Compare group NPD
• Stanley Cho-Hsien Hsu, M.D.

  • Gastroenterology Physician
  • Princeton, NJ
  • NPI 1992939235
  Medicare reassignment Care Compare group NPD
• Xingjia Hua, M.D.

  • Internal Medicine Physician
  • Princeton, NJ
  • NPI 1689763971
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1063513679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 N HARRISON ST",
            "address_2": "SUITE 203",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403521",
            "telephone_number": "609-924-9300",
            "fax_number": "609-430-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 N HARRISON ST",
            "address_2": "SUITE 203",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403521",
            "telephone_number": "609-924-9300",
            "fax_number": "609-430-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON MEDICAL GROUP,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "GUMMEL",
        "authorized_official_first_name": "SUSANA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "609-924-9300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP NUMBER",
            "identifier": "7149",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH/IBC SPEC GRP#",
            "identifier": "0082556000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2979306",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH/IBC PCP GRP#",
            "identifier": "0082556004",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Princeton Integrative Wellness LLC
• Princeton Internal Medicine and Geriatrics LLC
• Princeton Interventional Cardiology PA
• Princeton Kidney Care LLC
• Princeton Longevity Medical GRP LLC
• Princeton Medical Pharmacy LLC (Apotheco Pharmacy Princeton)
• Princeton Natural Health Care Associates
• Princeton Neonatology Group
• Princeton Neuro-Ortho Specialists
• Princeton Neuro-Ortho Specialists

• Internal Medicine Physician in Princeton, NJ
• Providers in Princeton, 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 Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.