Princeton Heart Group

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

PRINCETON HEART GROUP

Practice address

253 Witherspoon St
Princeton, NJ 08540-3211

Phone

(609) 734-7600

Fax

(609) 844-1092

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Bruce Traub, RESPONSIBLE MANANGME

Title

Cfo

Phone

(609) 734-7600

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1063629814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PRINCESS RD",
            "address_2": "SUITE #207",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482322",
            "telephone_number": "609-734-7600",
            "fax_number": "609-844-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 WITHERSPOON ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403211",
            "telephone_number": "609-734-7600",
            "fax_number": "609-844-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON HEART GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "TRAUB",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "609-734-7600",
        "authorized_official_credential": "RESPONSIBLE MANANGME"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6120806",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Princeton Healthcare System
• Princeton Healthcare System, a New Jersey Non-Profit Corporation
• Princeton Healthcare System, a New Jersey Non-Profit Corporation
• Princeton Healthcare System, a New Jersey Non-Profit Corporation
• Princeton Healthcare System, a New Jersey Non-Profit Corporation
• Princeton House Physician Group
• Princeton House Provider Group LLC
• Princeton Integral Endocrinology, LLC
• Princeton Integrative Wellness LLC
• Princeton Internal Medicine and Geriatrics LLC

• Cardiovascular Disease Physician in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.