Individual provider Active NPI

Adam Brett Naddelman, M.D.

  • Pediatrics Physician
  • Princeton, NJ
National Provider Identifier
1235118308
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA72154 Issued in NJ
Practice address
301 N Harrison St
Princeton, NJ 08540-3512
Phone
(609) 921-3441
Fax
(609) 921-3410
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MA72154 NJ Primary

Addresses

Primary practice location

301 N Harrison St
Princeton, NJ 08540-3512

Mailing address

301 N Harrison St
Princeton, NJ 08540-3512
Phone (609) 921-3441

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA72154NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PNP Pediatrics, LLC Pediatrics Current Accepting new patients

Locations

312 Applegarth Rd
Monroe Twp, NJ 08831
Phone (609) 860-0600

301 N Harrison St
Princeton, NJ 08540
Phone (609) 924-5510

196 Princeton Hightstown Rd
West Windsor, NJ 08550
Phone (609) 450-4441

196 Princeton Hightstown Rd
Bldg 1A
West Windsor, NJ 08550

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235118308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N HARRISON ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403512",
            "telephone_number": "609-921-3441",
            "fax_number": "609-921-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N HARRISON ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403512",
            "telephone_number": "609-921-3441",
            "fax_number": "609-921-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADDELMAN",
        "first_name": "ADAM",
        "middle_name": "BRETT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA72154",
            "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 Jul 8, 2007; 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.