NPIMap

Organization Active NPI

Princeton Dermatology Associates PC

  • Dermatology Physician
  • Princeton, NJ
National Provider Identifier
1336104561
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
000 Issued in NJ
Legal business name
PRINCETON DERMATOLOGY ASSOCIATES PC
Practice address
208 Bunn Dr
Princeton, NJ 08540-2851
Phone
(609) 683-4999
Fax
(609) 683-0298
NPI assigned
Apr 19, 2006
Last updated
Sep 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Authorized official

Name
Dr. Roderick T Kaufmann Jr.NPI 1740245539
Title
Owner
Phone
(609) 683-4999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 000 NJ Primary

Addresses

Primary practice location

208 Bunn Dr
Princeton, NJ 08540-2851

Mailing address

208 Bunn Dr
Princeton, NJ 08540-2851
Phone (609) 683-4999

Other practice location 1

5 Centre Dr Ste 1A
Monroe Township, NJ 08831-1864
Phone (609) 655-4544

Other practice location 2

1950 Highway 27 Ste A
North Brunswick, NJ 08902-1300
Phone (732) 297-8866

Other practice location 3

5 Plainsboro Rd Ste 550
Plainsboro, NJ 08536-1915
Phone (609) 269-9230

Other practice location 4

307 Omni Dr
Hillsborough, NJ 08844-4526
Phone (908) 281-6633

Other identifiers 2

IdentifierTypeStateIssuer
DA1887OtherNJRAILROAD MEDICARE
2152529000OtherNJAMERIHEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041209000016 NJ Part B Supplier - Clinic/Group Practice 1052377215 Receives reassigned benefits from 20 practitioners
Practice locations: Hillsborough, NJ; Monroe Township, NJ; North Brunswick, NJ; Plainsboro, NJ; Princeton, NJ

National Provider Directory

National Provider Directory

Locations

307 Omni Dr
Hillsborough, NJ 08844
Phone (908) 281-6633

5 Centre Dr
Ste A
Monroe Township, NJ 08831

5 Centre Dr
Monroe Twp, NJ 08831
Phone (609) 655-3800

1950 Route 27
Ste A
North Brunswick, NJ 08902
Phone (732) 297-8866

301 N Harrison St
Ste 1E
Princeton, NJ 08540
Phone (609) 683-4999

Practitioners & affiliated clinicians

Practitioners 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1336104561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 BUNN DR",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402851",
            "telephone_number": "609-683-4999",
            "fax_number": "609-683-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 BUNN DR",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402851",
            "telephone_number": "609-683-4999",
            "fax_number": "609-683-0298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Centre Dr Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Monroe Township",
            "state": "NJ",
            "postal_code": "088311864",
            "country_code": "US",
            "telephone_number": "609-655-4544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1950 Highway 27 Ste A",
            "address_purpose": "LOCATION",
            "city": "North Brunswick",
            "state": "NJ",
            "postal_code": "089021300",
            "country_code": "US",
            "telephone_number": "732-297-8866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Plainsboro Rd Ste 550",
            "address_purpose": "LOCATION",
            "city": "Plainsboro",
            "state": "NJ",
            "postal_code": "085361915",
            "country_code": "US",
            "telephone_number": "609-269-9230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "307 Omni Dr",
            "address_purpose": "LOCATION",
            "city": "Hillsborough",
            "state": "NJ",
            "postal_code": "088444526",
            "country_code": "US",
            "telephone_number": "908-281-6633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRINCETON DERMATOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "KAUFMANN",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-683-4999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA1887",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2152529000",
            "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 Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.