Princeton Pathology Services PLLC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

PRINCETON PATHOLOGY SERVICES PLLC

Doing business as

Pathlink of Pennsylvania PLLC

Practice address

501 Bath Rd
Bristol, PA 19007-3101

Phone

(215) 483-9900

Fax

(407) 648-2065

NPI assigned

Nov 8, 2017

Last updated

Apr 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mario S Gonzalez, MDNPI 1952414476

Title

President

Phone

(732) 212-0600

Specialties & licenses 1

Addresses

Other names 1

• Pathlink of Pennsylvania PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter J. Farano, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Philadelphia, PA
  • NPI 1194743989
  Medicare reassignment Care Compare group
• Philip J Klenn, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • East Norriton, PA
  • NPI 1710170865
  Medicare reassignment Care Compare group
• Warren Gillette Jr., MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Dover, DE
  • NPI 1649221870

  PA

  Medicare reassignment Care Compare group
• Mario Segundo Gonzalez, MD FCAP FASCP

  • Anatomic Pathology & Clinical Pathology Physician
  • Newark, NJ
  • NPI 1952414476
  NPD (past) Authorized official
• Lisa Castenova, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Philadelphia, PA
  • NPI 1699030874
  NPD

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1619480936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144333",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328144333",
            "telephone_number": "407-422-9831",
            "fax_number": "407-648-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BATH RD",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190073101",
            "telephone_number": "215-483-9900",
            "fax_number": "407-648-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON PATHOLOGY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-08",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-212-0600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathlink of Pennsylvania PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prasun Rajbhandari

• Anatomic Pathology & Clinical Pathology Physician in Bristol, PA
• Providers in Bristol, PA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.