Princeton Ivf Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

25MA06185200 Issued in NJ

Legal business name

PRINCETON IVF LABORATORY LLC

Practice address

2 Princess Rd
Lawrenceville, NJ 08648-2320

Phone

(609) 896-0777

Fax

(609) 895-0643

NPI assigned

Jul 15, 2009

Organization subpart

Yes

Parent organization

DELAWARE VALLEY OBGYNAs reported in NPPES

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

Authorized official

Name

Dr. Seth Derman, M.D.

Title

Managing Partner

Phone

(609) 896-0777

Specialties & licenses 1

Addresses

Part of

Delaware Valley OB GYN

Locations

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1619107471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PRINCESS RD",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482320",
            "telephone_number": "609-896-0777",
            "fax_number": "609-895-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PRINCESS RD",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482320",
            "telephone_number": "609-896-0777",
            "fax_number": "609-895-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON IVF LABORATORY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DELAWARE VALLEY OBGYN",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "DERMAN",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "609-896-0777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NJ",
            "license": "25MA06185200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Lawrenceville, NJ
• Providers in Lawrenceville, NJ by specialty
• Clinical Medical Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.