Princeton Health Associates PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

25MA08756300 Issued in NJ

Legal business name

PRINCETON HEALTH ASSOCIATES PC

Doing business as

Premier Primary Care and Wellness

Practice address

3 Hospital PLZ Ste 203
Old Bridge, NJ 08857-3084

Phone

(732) 823-2221

Fax

(609) 619-4813

NPI assigned

Dec 17, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Sameer B Shetty, M.D

Title

Physician

Phone

(732) 823-2221

Specialties & licenses 1

Addresses

Other names 1

• Premier Primary Care and Wellness Doing business as

Locations

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599436800000",
    "number": "1750627907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HOSPITAL PLZ STE 203",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573084",
            "telephone_number": "732-823-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HOSPITAL PLZ STE 203",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573084",
            "telephone_number": "732-823-2221",
            "fax_number": "609-619-4813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 Route 130 Ste 9",
            "address_purpose": "LOCATION",
            "city": "Robbinsville",
            "state": "NJ",
            "postal_code": "086911137",
            "country_code": "US",
            "telephone_number": "732-210-8165",
            "fax_number": "609-619-4813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRINCETON HEALTH ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2020-09-07",
        "certification_date": "2020-09-07",
        "status": "A",
        "authorized_official_last_name": "SHETTY",
        "authorized_official_first_name": "SAMEER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "732-823-2221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MA08756300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Primary Care and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Primary Care and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premier Health New Jersey, LLC
• Premier Urology Group LLC
• Prestige Medical Care LLC
• Craig C Price, MD
• Prime Care Physical Therapy LLC (Old Bridge Physical Therapy Associates)
• Professional Health & Rehabilitation Center
• Proform Physical Therapy LLC (ProFysio Physical Therapy)
• Joseph Przytula
• Purity Diagnostic LLC
• Nirosha Puvananayagam, PHARM D

• Primary Care Clinic/Center in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.

Verify at the official NPI Registry.