Organization Active NPI

Edward Szteinbaum, MD, LLC

  • Community/Behavioral Health Agency
  • Princeton, NJ
National Provider Identifier
1578793477
Registry record updated Jul 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
25MA5891000 Issued in NJ
Legal business name
EDWARD SZTEINBAUM, MD, LLC
Practice address
330 N Harrison St
Suite 1
Princeton, NJ 08540-3524
Phone
(609) 921-3666
Fax
(609) 921-3660
NPI assigned
Jul 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2009

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

Authorized official

Name
Dr. Edward Szteinbaum, M.D.NPI 1063506293
Title
Proprietor
Phone
(609) 921-3666

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
Community/Behavioral Health Agency 251S00000X 25MA5891000 NJ Primary

Addresses

Primary practice location

330 N Harrison St
Suite 1
Princeton, NJ 08540-3524

Mailing address

117 Mason Dr
Metuchen, NJ 08840-1021
Phone (609) 921-3666

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110328000488 NJ Part B Supplier - Clinic/Group Practice 5597948695 Receives reassigned benefits from 1 practitioner
Practice locations: Princeton, NJ

National Provider Directory

National Provider Directory

Locations

330 N Harrison St
Ste 1
Princeton, NJ 08540
Phone (609) 683-1867

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1248566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248566400000",
    "number": "1578793477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 MASON DR",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088401021",
            "telephone_number": "609-921-3666",
            "fax_number": "609-921-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N HARRISON ST",
            "address_2": "SUITE 1",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403524",
            "telephone_number": "609-921-3666",
            "fax_number": "609-921-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD SZTEINBAUM, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-26",
        "last_updated": "2009-07-26",
        "status": "A",
        "authorized_official_last_name": "SZTEINBAUM",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "609-921-3666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "25MA5891000",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 26, 2009; 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.