Koel Guha, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA08622700 Issued in NJ

Practice address

1 Plainsboro Rd
Chop Care Network at Princeton Medical Center
Plainsboro, NJ 08536-1913

Phone

(609) 853-7000

Fax

(609) 497-4137

NPI assigned

Aug 22, 2008

Last updated

May 24, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1073760930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E PENN SQ",
            "address_2": "9TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191073323",
            "telephone_number": "267-425-9234",
            "fax_number": "267-425-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PLAINSBORO RD",
            "address_2": "CHOP CARE NETWORK AT PRINCETON MEDICAL CENTER",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085361913",
            "telephone_number": "609-853-7000",
            "fax_number": "609-497-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUHA",
        "first_name": "KOEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-22",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125-05-08-00",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08622700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEMPORARY LICENSE",
            "identifier": "125-05-08-00",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Gormley, PA-C
• Lena Gottesman-Katz, MD
• Judith Greif, RN, MS, APNC
• Rebecca N Griffith, M.D.
• Jeffrey K Gross, MD
• Jian Guo
• Wei Guo
• Marjan Habibian, DDS
• Robert David Hager, PA-C
• Yeong Yeon Han, M.D.

• Pediatrics Physician in Plainsboro, NJ
• Providers in Plainsboro, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.