Individual provider Active NPI

Erinn E Beagin, M.D.

  • Internal Medicine Physician
  • Princeton, NJ
National Provider Identifier
1619924388
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07798200 Issued in NJ
Practice address
800 Bunn Dr Ste 302
Princeton, NJ 08540-1968
Phone
(609) 921-1680
Fax
(609) 490-0091
NPI assigned
May 28, 2006
Last updated
Oct 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07798200 NJ Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 25MA07798200 NJ
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 25MA07798200 NJ

Addresses

Primary practice location

800 Bunn Dr Ste 302
Princeton, NJ 08540-1968

Mailing address

800 Bunn Dr
Ste 302
Princeton, NJ 08540-1968
Phone (609) 921-1680

Other identifiers 1

IdentifierTypeStateIssuer
0082619MedicaidNJ

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
I20051017000171 NJ Practitioner - Internal MedicinePractitioner - Geriatric Medicine 5890711188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
New York Medical College, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

800 Bunn Dr
Suite 302
Princeton, NJ 08540-1968
Phone (609) 921-1680

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07798200NJMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Premier Medicine LLC Internal Medicine CurrentSince Aug 18, 2019 Accepting new patients
Princeton Internal Medicine and Geriatrics LLC Internal Medicine CurrentSince Oct 15, 2019 Accepting new patients

Locations

800 Bunn Dr
Ste 302
Princeton, NJ 08540
Phone (609) 301-0116

Interoperability endpoints

  • Direct secure messaging: erinn.beagin.1@20161.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1619924388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BUNN DR",
            "address_2": "STE 302",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401968",
            "telephone_number": "609-921-1680",
            "fax_number": "609-921-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BUNN DR STE 302",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401968",
            "telephone_number": "609-921-1680",
            "fax_number": "609-490-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAGIN",
        "first_name": "ERINN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07798200",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA07798200",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NJ",
            "license": "25MA07798200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0082619",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.