NPIMap

Organization Active NPI

Princeton Healthcare Affiliated Physicians PC

Doing business as Montgomery Internal Medicine Group - Princeton Medicine

  • Internal Medicine Physician
  • Princeton, NJ
National Provider Identifier
1770176372
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRINCETON HEALTHCARE AFFILIATED PHYSICIANS PC
Doing business as
Montgomery Internal Medicine Group - Princeton Medicine
Practice address
727 State Rd Ste 1
Princeton, NJ 08540-1444
Phone
(609) 921-6410
Fax
(609) 921-0406
NPI assigned
Feb 15, 2021
Last updated
Feb 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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

Authorized official

Name
Kathryn J Robison, MD
Title
President
Phone
(609) 853-7220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

727 State Rd Ste 1
Princeton, NJ 08540-1444

Mailing address

PO Box 824320
Philadelphia, PA 19182-4320
Phone (609) 243-0445

Other practice location 1

719 Rte 206 Ste 100
Hillsborough, NJ 08844-1529
Phone (908) 904-0920

Other names 1

  • MONTGOMERY INTERNAL MEDICINE GROUP - PRINCETON MEDICINE Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100413000141 NJ Part B Supplier - Clinic/Group Practice 2567598022 Receives reassigned benefits from 269 practitioners
19 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Plainsboro, NJ; Morganville, NJ; Princeton, NJ; Robbinsville, NJ; West Windsor, NJ; Monroe Township, NJ; Monmouth Junction, NJ; Lawrenceville, NJ…

Other NPIs on the same Medicare enrollment 19

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 19

National Provider Directory

National Provider Directory
Tax ID family
Princeton Healthcare17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

615 Hope Rd
Ste 1
Eatontown, NJ 07724
Phone (848) 208-2600

300 Clocktower Dr
Hamilton, NJ 08690
Phone (609) 683-3283

11 Centre Dr
Ste A
Monroe Twp, NJ 08831
Phone (609) 395-2462

351 New Albany Rd
Moorestown, NJ 08057
Phone (856) 223-8787

5 Plainsboro Rd
Ste 570
Plainsboro, NJ 08536
Phone (609) 853-7474

601 Ewing St
Ste A3
Princeton, NJ 08540
Phone (609) 921-1500

731 Alexander Rd
Ste 104
Princeton, NJ 08540
Phone (609) 452-1111

2346 Route 33
Ste 107
Robbinsville, NJ 08691
Phone (609) 653-6400

300 Clocktower Dr
Ste 101
Trenton, NJ 08690
Phone (609) 688-2788

Practitioners & affiliated clinicians

Practitioners 260

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.

View all 260

NPI Registry JSON

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613347200000",
    "number": "1770176372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 824320",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191824320",
            "telephone_number": "609-243-0445",
            "fax_number": "609-844-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 STATE RD STE 1",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401444",
            "telephone_number": "609-921-6410",
            "fax_number": "609-921-0406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "719 Rte 206 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Hillsborough",
            "state": "NJ",
            "postal_code": "088441529",
            "country_code": "US",
            "telephone_number": "908-904-0920",
            "fax_number": "908-431-9407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRINCETON HEALTHCARE AFFILIATED PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "ROBISON",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-853-7220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MONTGOMERY INTERNAL MEDICINE GROUP - PRINCETON MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 15, 2021; 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.

Verify at the official NPI Registry.