NPIMap

Organization Active NPI

Capital Health Primary Care Pennington

  • Internal Medicine Physician
  • Pennington, NJ
National Provider Identifier
1639472525
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CAPITAL HEALTH PRIMARY CARE PENNINGTON
Practice address
2480 Pennington Rd
Suite 108
Pennington, NJ 08534-5227
Phone
(609) 737-6700
NPI assigned
Dec 15, 2010
Last updated
Dec 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Authorized official

Name
Nathan Bosk
Title
VP Ambulatory Services Division
Phone
(609) 278-5438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2480 Pennington Rd
Suite 108
Pennington, NJ 08534-5227

Mailing address

PO Box 8500-9117
Philadelphia, PA 19178-0001
Phone (609) 815-7810

National Provider Directory

National Provider Directory

Locations

850 Bear Tavern Rd
Ste 309
Ewing, NJ 08628
Phone (609) 392-8100

2480 Pennington Rd
Ste 108
Pennington, NJ 08534
Phone (609) 586-6777

811 Executive Dr
#811813
Princeton, NJ 08540
Phone (609) 303-4600

Practitioners & affiliated clinicians

Practitioners 4

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": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1639472525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8500-9117",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191780001",
            "telephone_number": "609-815-7810",
            "fax_number": "609-815-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 PENNINGTON RD",
            "address_2": "SUITE 108",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085345227",
            "telephone_number": "609-737-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL HEALTH PRIMARY CARE PENNINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "BOSK",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "VP AMBULATORY SERVICES DIVISION",
        "authorized_official_telephone_number": "609-278-5438"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.