Active NPI
Kossow & Sandberg MD LLC
- Internal Medicine Physician
- Princeton, NJ
National Provider Identifier
1720758642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- KOSSOW & SANDBERG MD LLC
- Practice address
- 731 Alexander Rd Ste 201
Princeton, NJ 08540-6345 - Phone
- (609) 655-3800
- Fax
- (866) 912-7741
- NPI assigned
- Sep 14, 2021
- 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
- Dr. Lynne B Kossow, MD
- Title
- MD
- Phone
- (609) 410-5487
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
731 Alexander Rd Ste 201
Princeton, NJ 08540-6345
Mailing address
731 Alexander Rd Ste 201
Princeton, NJ 08540-6345
Phone (609) 655-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
731 Alexander Rd
Ste 201
Princeton, NJ 08540
Phone (609) 410-3793
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644624000000",
"number": "1720758642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 ALEXANDER RD STE 201",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085406345",
"telephone_number": "609-655-3800",
"fax_number": "866-912-7741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 ALEXANDER RD STE 201",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085406345",
"telephone_number": "609-655-3800",
"fax_number": "866-912-7741"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOSSOW & SANDBERG MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-14",
"last_updated": "2022-02-12",
"certification_date": "2022-02-12",
"status": "A",
"authorized_official_last_name": "KOSSOW",
"authorized_official_first_name": "LYNNE",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "609-410-5487",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"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 Princeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.