Individual provider Active NPI

Elsa Marisol Pichardo, MD

  • Surgical Oncology Physician
  • Plainsboro, NJ
National Provider Identifier
1528383635
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
MD170682 Issued in OR
Practice address
5 Plainsboro Rd
St 400
Plainsboro, NJ 08536-1913
Phone
(609) 936-9100
Fax
(609) 936-9200
NPI assigned
Mar 31, 2010
Last updated
Mar 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X MD170682 OR Primary

Addresses

Primary practice location

5 Plainsboro Rd
St 400
Plainsboro, NJ 08536-1913

Mailing address

5 Plainsboro Rd
St 400
Plainsboro, NJ 08536-1915
Phone (609) 936-9100

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL www.princeton-surgical.com Direct PRINCETON SURGICAL ASSOCIATES, PA
CONNECT URL www.princeton-surgical.com Direct PRINCETON SURGICAL ASSOCIATES, PA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170802002277 NJ Practitioner - General Surgery 3870805070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Columbia University College of Physicians and Surgeons, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Princeton Surgical Associates PAGroup PAC ID 7517933385, 8 clinicians

Practice addresses (Care Compare)

5 Plainsboro Rd
Plainsboro, NJ 08536-1915
Phone (609) 936-9100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD170682ORMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Surgical Associates, PA CurrentSince Nov 1, 2021 Accepting new patients
Princeton Specialty Group PastSince Nov 1, 2021 Accepting new patients

Locations

5 Plainsboro Rd
Ste 400
Plainsboro, NJ 08536
Phone (609) 936-9100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1528383635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PLAINSBORO RD",
            "address_2": "ST 400",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085361915",
            "telephone_number": "609-936-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PLAINSBORO RD",
            "address_2": "ST 400",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085361913",
            "telephone_number": "609-936-9100",
            "fax_number": "609-936-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICHARDO",
        "first_name": "ELSA",
        "middle_name": "MARISOL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-31",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "OR",
            "license": "MD170682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.princeton-surgical.com",
            "affiliation": "Y",
            "endpointDescription": "website",
            "affiliationName": "PRINCETON SURGICAL ASSOCIATES, PA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "5 Plainsboro Rd",
            "address_2": "St 400",
            "city": "Plainsboro",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085361913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.princeton-surgical.com",
            "affiliation": "Y",
            "endpointDescription": "website",
            "affiliationName": "PRINCETON SURGICAL ASSOCIATES, PA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "5 Plainsboro Rd",
            "address_2": "St 400",
            "city": "Plainsboro",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085361913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plainsboro, NJ

Sources for this page

Verify at the official NPI Registry.