Active NPI
Elena Altshuler, MD
- Pediatrics Physician
- Princeton, NJ
National Provider Identifier
1679502587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA06478800
- Practice address
- 256 Bunn Dr
Suite 3 a
Princeton, NJ 08540-2859 - Phone
- (609) 683-7773
- Fax
- (609) 683-7958
- NPI assigned
- Jul 2, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA06478800 | NJ | Primary |
Addresses
Primary practice location
256 Bunn Dr
Suite 3 a
Princeton, NJ 08540-2859
Mailing address
256 Bunn Dr
Suite 3 a
Princeton, NJ 08540-2859
Phone (609) 683-7773
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06478800 | NJ | MD | Pediatrics Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Princeton, NJ
- NPI 1942618665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679502587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 BUNN DR",
"address_2": "SUITE 3 A",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085402859",
"telephone_number": "609-683-7773",
"fax_number": "609-683-7958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 BUNN DR",
"address_2": "SUITE 3 A",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085402859",
"telephone_number": "609-683-7773",
"fax_number": "609-683-7958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTSHULER",
"first_name": "ELENA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA06478800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, NJ
- Leticia C Almeida, LCSW
- Alroy-Thiberge Psychotherapy LLC
- Christina Fluehr Alt, PA-C
- Sharon Altmeyer, M.S.
- Altshuler & Konnick LLC
- Ricardo Alvarez
- Diega Amador-Rowe, BCBA
- Amar Dental Associates LLC (Princeton Smile Dental Studios)
- Amd Life Sciences LLC (Princeton Nutrition Therapy)
- American Disabilities Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.