NPIMap

Organization Active NPI

Princeton Healthcare Provider Group LLC

Doing business as Princeton Medicine Heart Group

  • Cardiovascular Disease Physician
  • Plainsboro, NJ
National Provider Identifier
1770950214
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
PRINCETON HEALTHCARE PROVIDER GROUP LLC
Doing business as
Princeton Medicine Heart Group
Practice address
1 Plainsboro Rd
Sands Center for Cardiac and Pulmonary Care
Plainsboro, NJ 08536-1913
Phone
(609) 853-7885
Fax
(609) 853-7886
NPI assigned
Sep 1, 2015
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
PRINCETON HEALTHCARE PROVIDER GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Steven R Bergmann, MD, PHDNPI 1972588515
Title
President
Phone
(609) 853-7220

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary
Pulmonary Disease Physician 207RP1001X

Addresses

Primary practice location

1 Plainsboro Rd
Sands Center for Cardiac and Pulmonary Care
Plainsboro, NJ 08536-1913

Mailing address

4 Princess Rd
Suite 207
Lawrenceville, NJ 08648-2322
Phone (609) 243-0445

Other names 1

  • Princeton Medicine Heart Group Doing business as

Electronic endpoints 1

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151228002256 NJ Part B Supplier - Clinic/Group Practice 3173824695 Receives reassigned benefits from 46 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Plainsboro, NJ; Princeton, NJ

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Part of
Princeton HLTH Provider GRP

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1770950214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PRINCESS RD",
            "address_2": "SUITE 207",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482322",
            "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": "1 PLAINSBORO RD",
            "address_2": "SANDS CENTER FOR CARDIAC AND PULMONARY CARE",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085361913",
            "telephone_number": "609-853-7885",
            "fax_number": "609-853-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON HEALTHCARE PROVIDER GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRINCETON HEALTHCARE PROVIDER GROUP LLC",
        "enumeration_date": "2015-09-01",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "BERGMANN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-853-7220",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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",
            "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": "Princeton Medicine Heart Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Princeton Medicine Heart Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plainsboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.