Princeton Healthcare Affiliated Physicians PC
Organization Active NPI Obstetrics & Gynecology Physician · Robbinsville, NJ
NPI 1194017475 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1194017475
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- PRINCETON HEALTHCARE AFFILIATED PHYSICIANS PC
- Practice address
- 1 Union St Ste 106
Robbinsville, NJ 08691-4219 - Phone
- (609) 252-8756
- Fax
- (609) 208-2847
- NPI assigned
- May 5, 2011
- Organization subpart
- Yes
- Parent organization (as reported)
- PRINCETON HEALTHCARE AFFILIATED PHYSICIANS PC
Authorized official
- Name
- Steven R. Bergmann, MD, PHD
- Title
- President
- Phone
- (609) 853-7220
Other NPIs on the same Medicare enrollment 19
Corporate family (same tax ID) 16
Practitioners 19
-
Melissa Ackerman, MD
-
Susan Bersin, ANP
-
Jean-Paul Ecuyer, M.D.
-
Daniel M Farber, MD
-
Anthony Greco, CRNA
-
Isao Iwata, M.D.
-
Karthik Kota, MD MPH
-
Michael Kuo, M.D.
-
Alexander K Kwon, M.D.
-
T J Mercuro, MD
-
Sofiul Noman, DO
-
Rajiv Arvind Patel, MD PHD
-
James Penn, M.D.
-
Edward Kwadwo Amankwaah, CRNA
-
Jeremy Philip Johns, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2025514 | Comprehensive OB/GYN Care of Princeton | Certificate of waiver | Jun 9, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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… |
National Provider Directory
- Tax ID family
- University Medical Center Medical Center in Plainsboro
- Part of
- University Medical Center Medical Center in Plainsboro
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | Yes |
Addresses
Primary practice location
1 Union St Ste 106
Robbinsville, NJ 08691-4219
Mailing address
4 Princess Rd Ste 207
Lawrenceville, NJ 08648-2322
Phone (609) 234-0445
Other names
- Comprehensive Ob/Gyn Care of Princeton
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other |
Other providers in Robbinsville, NJ
- Agnieszka Pichnarczyk
- Amanda Pownall
- Preferred Home Health Care & Nursing Services
- Preferred Home Health Care & Nursing Services, Inc.
- Prime Care Dental LLC
- Princeton Healthcare Affiliated Physicians PC
- Jodi Noel Pultorak
- Puppylove Speech Therapy LLC
- Ashley Rallis
- Harrison Ranallo
All providers in Robbinsville, NJ · Obstetrics & Gynecology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.