Organization Active NPI

Princeton Group Support Center LLC

  • Clinical Social Worker
  • Skillman, NJ
National Provider Identifier
1588092241
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04672200 Issued in NJ
Legal business name
PRINCETON GROUP SUPPORT CENTER LLC
Practice address
88 Orchard Rd
Suite 5
Skillman, NJ 08558-2642
Phone
(973) 851-5095
Fax
(732) 940-0763
NPI assigned
Oct 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Authorized official

Name
Mr. Charles Leighton, LCSW
Title
Owner/Director
Phone
(973) 851-5095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 44SC04672200 NJ Primary

Addresses

Primary practice location

88 Orchard Rd
Suite 5
Skillman, NJ 08558-2642

Mailing address

88 Orchard Rd
Suite 5
Skillman, NJ 08558-2642
Phone (973) 851-5095

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1588092241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 ORCHARD RD",
            "address_2": "SUITE 5",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "085582642",
            "telephone_number": "973-851-5095",
            "fax_number": "732-940-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 ORCHARD RD",
            "address_2": "SUITE 5",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "085582642",
            "telephone_number": "973-851-5095",
            "fax_number": "732-940-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON GROUP SUPPORT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "LEIGHTON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "973-851-5095",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04672200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skillman, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.