Organization Active NPI

Princeton Chiropractic Associates, P.C.

  • Chiropractor
  • Lawrenceville, NJ
National Provider Identifier
1306022918
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC004701 Issued in NJ
Legal business name
PRINCETON CHIROPRACTIC ASSOCIATES, P.C.
Practice address
123 Franklin Corner Rd
Suite 107
Lawrenceville, NJ 08648-2526
Phone
(609) 912-1900
Fax
(609) 912-0019
NPI assigned
Jan 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Dr. Debra M Fonseca, D.C.
Title
Ceo
Phone
(609) 912-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X MC004701 NJ Primary

Addresses

Primary practice location

123 Franklin Corner Rd
Suite 107
Lawrenceville, NJ 08648-2526

Mailing address

123 Franklin Corner Rd
Suite 107
Lawrenceville, NJ 08648-2526
Phone (609) 912-1900

National Provider Directory

National Provider Directory

Locations

123 Franklin Corner Rd
Ste 107
Lawrenceville, NJ 08648
Phone (609) 912-1900

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1306022918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 FRANKLIN CORNER RD",
            "address_2": "SUITE 107",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482526",
            "telephone_number": "609-912-1900",
            "fax_number": "609-912-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 FRANKLIN CORNER RD",
            "address_2": "SUITE 107",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482526",
            "telephone_number": "609-912-1900",
            "fax_number": "609-912-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON CHIROPRACTIC ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "FONSECA",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-912-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC004701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.