Peter Edward Johnsen, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

25MA03500400 Issued in NJ

Practice address

Princeton University Health Services
Princeton, NJ 08544-0001

Phone

(609) 258-3141

Fax

(609) 258-1355

NPI assigned

May 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336361450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 STOCKTON RD",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241211",
            "telephone_number": "732-821-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PRINCETON UNIVERSITY HEALTH SERVICES",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085440001",
            "telephone_number": "609-258-3141",
            "fax_number": "609-258-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSEN",
        "first_name": "PETER",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NJ",
            "license": "25MA03500400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jo Ann Laveman, LCSW, LLC
• Joanne B Kalish DO PC
• Joanne Dailey LCSW PA
• John C Seed
• John Vester MD PA
• Loren S. Johnson-Rosa, LCSW
• Carol A Johnson, M.A., ED.S.
• Steven B Johnson, PHARMD
• Joia Family Acupuncture
• Josua Jomarron

• Pediatric Adolescent Medicine Physician in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Pediatric Adolescent Medicine Physician in New Jersey

• 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.