Princeton Medical & Aesthetics Center LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRINCETON MEDICAL & AESTHETICS CENTER LLC

Doing business as

Princeton Medical & Aesthetics Center LLC

Practice address

61 Princeton Hightstown Rd # 2C
Princeton Junction, NJ 08550-1120

Phone

(609) 874-0070

Fax

(609) 874-0029

NPI assigned

Feb 19, 2021

Last updated

Feb 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shiva Jetty, MD

Title

MD

Phone

(609) 874-0070

Specialties & licenses 1

Addresses

Other names 1

• PRINCETON MEDICAL & AESTHETICS CENTER LLC Doing business as

Locations

Practitioners 1

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.

• Siva Teja Jetty, M.D

  • Hospitalist Physician
  • Jersey City, NJ
  • NPI 1073977278

  Internal Medicine

  NPD

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1275126211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 PRINCETON HIGHTSTOWN RD # 2C",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085501120",
            "telephone_number": "609-874-0070",
            "fax_number": "609-874-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 PRINCETON HIGHTSTOWN RD # 2C",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085501120",
            "telephone_number": "609-874-0070",
            "fax_number": "609-874-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON MEDICAL & AESTHETICS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "JETTY",
        "authorized_official_first_name": "SHIVA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "609-874-0070",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRINCETON MEDICAL & AESTHETICS CENTER LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Platt, MS. ED, LPC
• Srujana Polsani, M.D
• Princeton Caregivers Inc
• Princeton Home and Primary Care PC
• Princeton Hypertension Nephrology Associates LLC
• Princeton-Windsor Obstetrics and Gynecology, PA
• Princeton-Windsor Pediatrics
• PT Junction, LLC
• QBR Diagnostics,LLC
• Vijay Somesh Rao

• Internal Medicine Physician in Princeton Junction, NJ
• Providers in Princeton Junction, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.