Organization Active NPI

Elite Medical Associates PA

  • Primary Care Clinic/Center
  • Princeton, NJ
National Provider Identifier
1639549496
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ELITE MEDICAL ASSOCIATES PA
Doing business as
PRINCETON MEDICAL ASSOCIATES PA
Practice address
10 Forrestal Rd S
Suite 101
Princeton, NJ 08540-6666
Phone
(609) 512-5000
NPI assigned
Oct 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Authorized official

Name
Dr. Shazia Shah
Title
President/Ceo
Phone
(609) 512-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NJ Primary

Addresses

Primary practice location

10 Forrestal Rd S
Suite 101
Princeton, NJ 08540-6666

Mailing address

2601 Brunswick Ave
PO Box 55054
Trenton, NJ 08638-8000

Other names 1

  • PRINCETON MEDICAL ASSOCIATES PA Doing business as

National Provider Directory

National Provider Directory

Locations

2601 Brunswick Ave
Unit 55054
Trenton, NJ 08638

NPI Registry JSON

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1639549496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 BRUNSWICK AVE",
            "address_2": "PO BOX 55054",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086388000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FORRESTAL RD S",
            "address_2": "SUITE 101",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406666",
            "telephone_number": "609-512-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SHAZIA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "609-512-5000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRINCETON MEDICAL ASSOCIATES PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 5, 2015; 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.