Premier Gastroenterology of Princeton

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

25MB09222600 Issued in NJ

Legal business name

PREMIER GASTROENTEROLOGY OF PRINCETON

Practice address

5 Plainsboro Rd Ste 360
Plainsboro, NJ 08536-1915

Phone

(609) 647-5562

NPI assigned

Jan 18, 2018

Last updated

Jan 18, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Punitha Shivaprasad, MD

Title

President

Phone

(609) 647-5562

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1760990279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 TARA WAY",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342100",
            "telephone_number": "609-647-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PLAINSBORO RD STE 360",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085361915",
            "telephone_number": "609-647-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER GASTROENTEROLOGY OF PRINCETON",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "SHIVAPRASAD",
        "authorized_official_first_name": "PUNITHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-647-5562",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MB09222600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Plainsboro Pharmacy LLC (Plainsboro Pharmacy)
• Plainsboro-Princeton Medical Associates PC
• Sara Jane Plehn, APN
• Dana Poostchi, DDS
• Bhavadarani M Pragaspathy, M.D.
• Jeff Prescott, PHARMD
• Princeton Bone and Joint, LLC
• Princeton Child Development Institute
• Princeton Child Development Institute
• Princeton Child Development Institute

• Gastroenterology Physician in Plainsboro, NJ
• Providers in Plainsboro, NJ by specialty
• Gastroenterology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.