Organization Active NPI

The Other Way

  • Family Medicine Physician
  • Princeton, NJ
National Provider Identifier
1396041844
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MAO2029400 Issued in NJ
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

Updated by the provider on Feb 1, 2011

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1C 165540OtherNJMEDICARE P'TAN

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.