Princeton Psychiatric Associates LLC

Primary specialty

Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X

License

25MA07061800 Issued in NJ

Legal business name

PRINCETON PSYCHIATRIC ASSOCIATES LLC

Practice address

622 Eagle Rock Ave
West Orange, NJ 07052-2994

Phone

(973) 669-1100

Fax

(973) 324-9960

NPI assigned

Apr 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Abby Kurien, MD

Title

Owner

Phone

(973) 669-1100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1356515993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 EDGEWOOD AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523134",
            "telephone_number": "973-669-1100",
            "fax_number": "973-324-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 EAGLE ROCK AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522994",
            "telephone_number": "973-669-1100",
            "fax_number": "973-324-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON PSYCHIATRIC ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "KURIEN",
        "authorized_official_first_name": "ABBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-669-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "NJ",
            "license": "25MA07061800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychosomatic Medicine Physician in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Psychosomatic Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.