Organization Active NPI

Princeton Primary and Urgent Care Center

  • Internal Medicine Physician
  • Princeton, NJ
National Provider Identifier
1639296098
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRINCETON PRIMARY AND URGENT CARE CENTER
Practice address
707 Alexander Rd
Suite 201
Princeton, NJ 08540-6331
Phone
(609) 919-0009
Fax
(609) 919-0008
NPI assigned
Mar 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Chandani Dhammika Fernando, M.D.NPI 1679513501
Title
Medical Director
Phone
(609) 919-0009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NJ Primary

Addresses

Primary practice location

707 Alexander Rd
Suite 201
Princeton, NJ 08540-6331

Mailing address

707 Alexander Rd
Suite 201
Princeton, NJ 08540-6331
Phone (609) 919-0009

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2323691Princeton Primary & Urgent Care Center LLC707 Alexander Road, Princeton, NJ 08540Certificate of waiverMay 11, 2027

National Provider Directory

National Provider Directory

Locations

707 Alexander Rd
Ste 201
Princeton, NJ 08540
Phone (609) 919-0009

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639296098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 ALEXANDER RD",
            "address_2": "SUITE 201",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406331",
            "telephone_number": "609-919-0009",
            "fax_number": "609-919-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 ALEXANDER RD",
            "address_2": "SUITE 201",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406331",
            "telephone_number": "609-919-0009",
            "fax_number": "609-919-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON PRIMARY AND URGENT CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERNANDO",
        "authorized_official_first_name": "CHANDANI",
        "authorized_official_middle_name": "DHAMMIKA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "609-919-0009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.