Pibcoa of Princeton, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

PIBCOA OF PRINCETON, LLC

Doing business as

PIBCOA of Princeton

Practice address

330 N Harrison St Ste 1
Princeton, NJ 08540-3500

Phone

(908) 421-4804

NPI assigned

Mar 4, 2021

Last updated

Mar 4, 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

Joseph K Kahn

Title

Owner

Phone

(908) 421-4804

Specialties & licenses 1

Addresses

Other names 1

• PIBCOA of Princeton Doing business as

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.

• Cindy Becker, SURGICAL TECH

  • Surgical Technologist
  • Princeton Junction, NJ
  • NPI 1467047076
  NPD

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1376138966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 BLANKETFLOWER LN",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085502437",
            "telephone_number": "908-421-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N HARRISON ST STE 1",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403500",
            "telephone_number": "908-421-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIBCOA OF PRINCETON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "KAHN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-421-4804"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PIBCOA of Princeton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michaela Kathryn Petito, PA-C
• Ziva Petrin, M.D.
• Phillips Psychiatric & Mental Health LLC
• Maryann Buckley Phinney, MD
• Phoenix Counseling Services LLC
• Robert L Pickens, M.D.
• David Shawn Pierson, M.D.
• Joseph Dean Pierson, MD
• Anne Pieters
• Rogelio M Pine, M.D.

• Health Service Clinic/Center in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Health Service Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.