Princeton Specialty Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRINCETON SPECIALTY GROUP

Practice address

253 Witherspoon St
Princeton, NJ 08540-3211

Phone

(609) 495-4000

NPI assigned

Jun 24, 2006

Last updated

Jan 22, 2009By 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

Bruce Traub

Title

Cfo

Phone

(609) 243-0445

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1386670990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PRINCESS RD",
            "address_2": "SUITE #207",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482322",
            "telephone_number": "609-243-0445",
            "fax_number": "609-844-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 WITHERSPOON ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403211",
            "telephone_number": "609-495-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON SPECIALTY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "TRAUB",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "609-243-0445"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001279",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Princeton Psychotherapy Center
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• Princeton Regional Orthopaedics,P.a.
• Princeton Regional Physical Therapy
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• Princeton Speech Language and Learning Center (Princeton Speech Language And Learning Center LLC)
• Princeton Spine and Joint Center
• Princeton Spine Disc & Chiropractic LLC (Princeton Chiropractic & Disc)
• Princeton Surgiplex LLC
• Princeton Theranostics, PC (United Theranostics)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.