Organization Active NPI

Princeton Premier Medicine LLC

  • Internal Medicine Physician
  • Princeton, NJ
National Provider Identifier
1093011835
Registry record updated Mar 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA0468500 Issued in NJ
Legal business name
PRINCETON PREMIER MEDICINE LLC
Practice address
800 Bunn Dr
Suite 302
Princeton, NJ 08540-1968
Phone
(609) 921-1680
Fax
(609) 921-1438
NPI assigned
Jan 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2012

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

Authorized official

Name
Dr. Mark Schaeffer, MD
Title
Owner
Phone
(609) 921-1680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 25MA0468500 NJ Primary

Addresses

Primary practice location

800 Bunn Dr
Suite 302
Princeton, NJ 08540-1968

Mailing address

800 Bunn Dr
Suite 302
Princeton, NJ 08540-1968
Phone (609) 921-1680

National Provider Directory

National Provider Directory

Locations

281 Witherspoon St
Ste 220
Princeton, NJ 08540
Phone (609) 921-1680

800 Bunn Dr
Ste 302
Princeton, NJ 08540
Phone (609) 301-0116

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331424000000",
    "number": "1093011835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BUNN DR",
            "address_2": "SUITE 302",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401968",
            "telephone_number": "609-921-1680",
            "fax_number": "609-921-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BUNN DR",
            "address_2": "SUITE 302",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401968",
            "telephone_number": "609-921-1680",
            "fax_number": "609-921-1438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON PREMIER MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2012-03-11",
        "status": "A",
        "authorized_official_last_name": "SCHAEFFER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-921-1680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA0468500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2012; 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.