Organization Active NPI

Princeton Physicians Group PC

  • Internal Medicine Physician
  • West Windsor, NJ
National Provider Identifier
1730666769
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRINCETON PHYSICIANS GROUP PC
Practice address
88 Route 571 Ste 201
West Windsor, NJ 08550-1100
Phone
(609) 799-0100
Fax
(609) 799-2832
NPI assigned
Jul 23, 2018
Last updated
Jul 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Authorized official

Name
Dr. Geetha Srinivasan, MDNPI 1801937727
Title
Managing Partner
Phone
(609) 799-1588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

88 Route 571 Ste 201
West Windsor, NJ 08550-1100

Mailing address

88 Route 571 Ste 201
West Windsor, NJ 08550-1100
Phone (609) 799-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180905003080 NJ Part B Supplier - Clinic/Group Practice 7113277500 Receives reassigned benefits from 2 practitioners
Practice locations: West Windsor, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2162463Princeton Physicians Group PC88 Route 571, Suite 201, West Windsor, NJ 08550Certificate of waiverFeb 21, 2027

National Provider Directory

National Provider Directory

Locations

88 Route 571
Ste 201
West Windsor, NJ 08550
Phone (609) 799-0100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGJFBD

Practitioners & affiliated clinicians

Practitioners 2

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": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1730666769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 ROUTE 571 STE 201",
            "city": "WEST WINDSOR",
            "state": "NJ",
            "postal_code": "085501100",
            "telephone_number": "609-799-0100",
            "fax_number": "609-799-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 ROUTE 571 STE 201",
            "city": "WEST WINDSOR",
            "state": "NJ",
            "postal_code": "085501100",
            "telephone_number": "609-799-0100",
            "fax_number": "609-799-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON PHYSICIANS GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "SRINIVASAN",
        "authorized_official_first_name": "GEETHA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "609-799-1588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Windsor, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.