Active NPI
Susan I Primmer, MD
- Dermatology Physician
- Hillsborough, NJ
National Provider Identifier
1447281100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MA048607
- Practice address
- 307 Omni Dr
Hillsborough, NJ 08844-4526 - Phone
- (908) 281-6633
- Fax
- (908) 281-6690
- NPI assigned
- Jul 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MA048607 | NJ | Primary |
Addresses
Primary practice location
307 Omni Dr
Hillsborough, NJ 08844-4526
Mailing address
307 Omni Dr
Hillsborough, NJ 08844-4526
Phone (908) 281-6633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA048607 | NJ | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Princeton Dermatology Associates II LLC | Dermatology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- Princeton, NJ
- NPI 1629946918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409184000000",
"number": "1447281100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 OMNI DR",
"city": "HILLSBOROUGH",
"state": "NJ",
"postal_code": "088444526",
"telephone_number": "908-281-6633",
"fax_number": "908-281-6690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 OMNI DR",
"city": "HILLSBOROUGH",
"state": "NJ",
"postal_code": "088444526",
"telephone_number": "908-281-6633",
"fax_number": "908-281-6690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIMMER",
"first_name": "SUSAN",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2014-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NJ",
"license": "MA048607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsborough, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.