Active NPI
Princeton Pike Internal Medicine
- Internal Medicine Physician
- Lawrenceville, NJ
National Provider Identifier
1073519591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PRINCETON PIKE INTERNAL MEDICINE
- Practice address
- 3100 Princeton Pike
BLDG 3, 3Rd Floor
Lawrenceville, NJ 08648-2300 - Phone
- (609) 896-1793
- Fax
- (609) 896-1847
- NPI assigned
- Jun 21, 2005
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Joanne Sudol
- Title
- Office Manager
- Phone
- (609) 896-1793
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NJ | Primary |
Addresses
Primary practice location
3100 Princeton Pike
BLDG 3, 3Rd Floor
Lawrenceville, NJ 08648-2300
Mailing address
3100 Princeton Pike
Building 3, 3Rd Floor
Lawrenceville, NJ 08648-2300
Phone (609) 896-1793
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1073519591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 PRINCETON PIKE",
"address_2": "BUILDING 3, 3RD FLOOR",
"city": "LAWRENCEVILLE",
"state": "NJ",
"postal_code": "086482300",
"telephone_number": "609-896-1793",
"fax_number": "609-896-1847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 PRINCETON PIKE",
"address_2": "BLDG 3, 3RD FLOOR",
"city": "LAWRENCEVILLE",
"state": "NJ",
"postal_code": "086482300",
"telephone_number": "609-896-1793",
"fax_number": "609-896-1847"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRINCETON PIKE INTERNAL MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-21",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "SUDOL",
"authorized_official_first_name": "JOANNE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "609-896-1793",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, NJ
- Princeton Neuro-Ortho Specialists
- Princeton Pain & Spine Institute PC
- Princeton Pain and Spine Institute PC
- Princeton Pain Management & Wellness, LLC
- Princeton Perinatal Institute
- Princeton Pike RX LLC
- Princeton Sports and Family Medicine, P.C.
- Asha Proctor, MD
- Professional Healthcare Services of Lawrenceville
- Kira L Przybylko, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.