NPIMap

Organization Active NPI

Princeton Brain & Spine, LLC

  • Durable Medical Equipment & Medical Supplies
  • Newtown, PA
National Provider Identifier
1548052228
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PRINCETON BRAIN & SPINE, LLC
Practice address
104 Pheasant Run Ste 105
Newtown, PA 18940-3439
Phone
(215) 741-3141
NPI assigned
May 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Authorized official

Name
Nirav Shah, MDNPI 1477505329
Title
Authorized Official
Phone
(609) 921-9001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

104 Pheasant Run Ste 105
Newtown, PA 18940-3439

Mailing address

104 Pheasant Run Ste 105
Newtown, PA 18940-3439
Phone (215) 741-3141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250715003203 PA DME Supplier - Multi-Specialty - Physician 8224075510 Practice locations: Newtown, PA

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Princeton Brain Spine LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

18 E Jimmie Leeds Rd
Galloway, NJ 08205
Phone (609) 404-3353

548 Bloomfield Ave
Fl 1
Newark, NJ 07107

1912 State Route 35
Ste 101
Oakhurst, NJ 07755
Phone (732) 222-4762

713 Executive Dr
Princeton, NJ 08540

33 Clyde Rd
Ste 106
Somerset, NJ 08873
Phone (732) 873-6868

81 Veronica Ave
Ste 203
Somerset, NJ 08873
Phone (732) 545-3080

1203 Langhorne Newtown Rd
Ste 138
Langhorne, PA 19047

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1548052228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PHEASANT RUN STE 105",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403439",
            "telephone_number": "215-741-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PHEASANT RUN STE 105",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403439",
            "telephone_number": "215-741-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON BRAIN & SPINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "NIRAV",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "609-921-9001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.