Active NPI
Princeton Health, Inc
- Family Medicine Physician
- West Palm Beach, FL
National Provider Identifier
1659906097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PRINCETON HEALTH, INC
- Practice address
- 1233 45TH St
Suite B4
West Palm Beach, FL 33407-2162 - Phone
- (954) 289-1111
- NPI assigned
- Mar 5, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Prinston Jean-Glaude
- Title
- President
- Phone
- (305) 345-1369
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1233 45TH St
Suite B4
West Palm Beach, FL 33407-2162
Mailing address
2412 N State Road 7
Lauderdale Lakes, FL 33313-3724
Phone (954) 289-1111
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | EclinicalWorks | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
1233 45th St
Ste B4
Mangonia Park, FL 33407
Phone (561) 250-0000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583366400000",
"number": "1659906097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2412 N STATE ROAD 7",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333133724",
"telephone_number": "954-289-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1233 45TH ST",
"address_2": "SUITE B4",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334072162",
"telephone_number": "954-289-1111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRINCETON HEALTH, INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-05",
"last_updated": "2020-03-05",
"certification_date": "2020-03-05",
"status": "A",
"authorized_official_last_name": "JEAN-GLAUDE",
"authorized_official_first_name": "PRINSTON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-345-1369"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "EclinicalWorks",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1233 45th St",
"address_2": "Suite B4",
"city": "West Palm Beach",
"state": "FL",
"country_code": "US",
"postal_code": "334072162",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.