Active NPI
The Other Way
- Family Medicine Physician
- Princeton, NJ
National Provider Identifier
1396041844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MAO2029400
- Legal business name
- THE OTHER WAY
- Practice address
- 923 Cherry Hill Rd
Princeton, NJ 08540-7711 - Phone
- (609) 466-2563
- Fax
- (609) 466-0676
- NPI assigned
- Feb 1, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barbara Brunet Hamdan, M.D.
- Title
- Vice President
- Phone
- (609) 466-2563
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MAO2029400 | NJ | Primary |
Addresses
Primary practice location
923 Cherry Hill Rd
Princeton, NJ 08540-7711
Mailing address
923 Cherry Hill Rd
Princeton, NJ 08540-7711
Phone (609) 466-2563
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1C 165540 | Other | NJ | MEDICARE P'TAN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296518400000",
"number": "1396041844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "923 CHERRY HILL RD",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085407711",
"telephone_number": "609-466-2563",
"fax_number": "609-466-0676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "923 CHERRY HILL RD",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085407711",
"telephone_number": "609-466-2563",
"fax_number": "609-466-0676"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE OTHER WAY",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-01",
"last_updated": "2011-02-01",
"status": "A",
"authorized_official_last_name": "HAMDAN",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "BRUNET",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "609-466-2563",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NJ",
"license": "MAO2029400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE P'TAN",
"identifier": "1C 165540",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, NJ
- The Arc/Mercer Inc.
- The Arc/Mercer Inc.
- The Casey Group for Psychological Services LLC (Tricia Leigh Casey, Psy.D)
- The Gallery at Buckingham Place
- The Living Room NJ, LLC
- The Pediatric Group, PA
- The Princeton Center for Dermatology, LLC
- The Psychiatric Group at Princeton
- The Rehabilitation Center, Inc.
- Daphne Thiberge, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.