Priti P Tandon, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00171000 Issued in NJ

Practice address

225 Jackson St
Bridgewater, NJ 08807-3060

Phone

(908) 526-8668

Fax

(908) 231-6781

NPI assigned

Dec 4, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Princeton Emergency Physicians, PA

  • Emergency Medicine Physician
  • Plainsboro, NJ
  • NPI 1386779700
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508934712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 JACKSON ST",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073060",
            "telephone_number": "908-526-8668",
            "fax_number": "908-231-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 JACKSON ST",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073060",
            "telephone_number": "908-526-8668",
            "fax_number": "908-231-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANDON",
        "first_name": "PRITI",
        "middle_name": "P",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00171000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Swan
• Andrew W. Sylvester, M.D.
• Synaptic Rehab Bridgewater
• Synergy Multispeciality Group
• Qing Tai, M.D., PH.D.
• Margo Lee Tarasov, SW
• Jennifer Marie Tareco, MD
• Michael Scott Taub, MA, LPC, NCC
• TCM Acupuncture P C
• Samantha Teitelbaum

• Physician Assistant in Bridgewater, NJ
• Providers in Bridgewater, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.