NPIMap

Organization Active NPI

Princeton Healthcare Affiliated Physicians PC

Doing business as Ann E Smelkinson MD - Princeton Medicine

  • Internal Medicine Physician
  • Cranbury, NJ
National Provider Identifier
1114397650
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRINCETON HEALTHCARE AFFILIATED PHYSICIANS PC
Doing business as
Ann E Smelkinson MD - Princeton Medicine
Practice address
2650 US Highway 130
Ste F
Cranbury, NJ 08512-3327
Phone
(609) 860-8000
Fax
(609) 860-8004
NPI assigned
Sep 27, 2015
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
PRINCETON HEALTHCARE AFFILIATED PHYSICIANS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Steven R BergmannNPI 1972588515
Title
President
Phone
(609) 853-7220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

2650 US Highway 130
Ste F
Cranbury, NJ 08512-3327

Mailing address

4 Princess Rd
Ste 207
Lawrenceville, NJ 08648-2322
Phone (609) 243-0445

Other names 1

  • Ann E Smelkinson MD - Princeton Medicine Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100413000141 NJ Part B Supplier - Clinic/Group Practice 2567598022 Receives reassigned benefits from 269 practitioners
19 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Plainsboro, NJ; Morganville, NJ; Princeton, NJ; Robbinsville, NJ; West Windsor, NJ; Monroe Township, NJ; Monmouth Junction, NJ; Lawrenceville, NJ…

Other NPIs on the same Medicare enrollment 19

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 19

National Provider Directory

National Provider Directory
Tax ID family
Princeton Healthcare Affiliated Physicians17 organizations share this tax ID, including this one
Part of
Princeton Healthcare Affiliated Physicians

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

5 Plainsboro Rd
Ste 350
Plainsboro, NJ 08536
Phone (609) 853-6049

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1443312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1114397650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PRINCESS RD",
            "address_2": "STE 207",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482322",
            "telephone_number": "609-243-0445",
            "fax_number": "609-844-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 US HIGHWAY 130",
            "address_2": "STE F",
            "city": "CRANBURY",
            "state": "NJ",
            "postal_code": "085123327",
            "telephone_number": "609-860-8000",
            "fax_number": "609-860-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON HEALTHCARE AFFILIATED PHYSICIANS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRINCETON HEALTHCARE AFFILIATED PHYSICIANS PC",
        "enumeration_date": "2015-09-27",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "BERGMANN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-853-7220"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ann E Smelkinson MD - Princeton Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ann E Smelkinson MD - Princeton Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cranbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.