Individual provider Active NPI

Ana Bracilovic, MD

  • Physical Medicine & Rehabilitation Physician
  • Princeton, NJ
National Provider Identifier
1598944258
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
239688 Issued in NY
Practice address
40 Fleming Way
Princeton, NJ 08540-7332
Phone
(609) 510-4833
NPI assigned
Oct 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 239688 NY Primary

Addresses

Primary practice location

40 Fleming Way
Princeton, NJ 08540-7332

Mailing address

40 Fleming Way
Princeton, NJ 08540-7332

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
I20080213000105 NJ Practitioner - Physical Medicine and Rehabilitation 5496838575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Princeton Spine and Joint CenterGroup PAC ID 4284793373, 7 clinicians

Practice addresses (Care Compare)

256 Bunn Dr
Suite B
Princeton, NJ 08540-2859
Phone (609) 454-0760

601 Ewing St
Suite A2
Princeton, NJ 08540-2767
Phone (609) 454-0760

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
239688NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Spine and Joint Center Physical Medicine & Rehabilitation CurrentSince Apr 9, 2008 Accepting new patients
PSJC Associates PastSince Jul 31, 2022 Accepting new patients
New Jersey Center for Pain Management,LLC Past Accepting new patients
Princeton and Rutger Neurology, P.a. Past Accepting new patients

Locations

601 Ewing St
Ste A2
Princeton, NJ 08540
Phone (609) 454-0760

Organizations & group practices 4

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.

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": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1598944258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 FLEMING WAY",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085407332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FLEMING WAY",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085407332",
            "telephone_number": "609-510-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACILOVIC",
        "first_name": "ANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "239688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.