Individual provider Active NPI

Mark Allen Schaeffer, M.D.

  • Internal Medicine Physician
  • Princeton, NJ
National Provider Identifier
1194866087
Registry record updated Mar 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA04680500 Issued in NJ
Practice address
800 Bunn Dr
Suite 302
Princeton, NJ 08540-1968
Phone
(609) 921-1680
Fax
(609) 921-1438
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA04680500 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

Other identifiers 1

IdentifierTypeStateIssuer
271656004OtherNJTAX ID # PRINCETON PREMIER MEDICINE, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA04680500NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Premier Medicine, LLC Internal Medicine Current Accepting new patients
Princeton Internal Medicine and Geriatrics LLC Internal Medicine CurrentSince Oct 15, 2019 Accepting new patients
Princeton Internal Medicine Associates, P.C. Internal Medicine PastSince Dec 27, 1996 Accepting new patients

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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331424000000",
    "number": "1194866087",
    "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": {
        "last_name": "SCHAEFFER",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2012-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04680500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID # PRINCETON PREMIER MEDICINE, LLC",
            "identifier": "271656004",
            "state": "NJ"
        }
    ],
    "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.