Princeton Pulmonary Associates PC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

MA046885 Issued in NJ

Legal business name

PRINCETON PULMONARY ASSOCIATES PC

Practice address

15 Bouvant Dr
Princeton, NJ 08540-1208

Phone

(609) 688-9805

NPI assigned

Apr 11, 2007

Last updated

Aug 22, 2020By 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

Dr. Joel Loeb Deitz, MD

Title

Physician

Phone

(609) 688-9805

Specialties & licenses 1

Addresses

Other names 1

• Joel Deitz MD Other name

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629292842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BOUVANT DR",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401208",
            "telephone_number": "609-688-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BOUVANT DR",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401208",
            "telephone_number": "609-688-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON PULMONARY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEITZ",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "LOEB",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "609-688-9805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "MA046885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joel Deitz MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Pulmonary Disease Physician in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Pulmonary Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.