Organization Active NPI

Capital Health Occupational Health Center

  • Occupational Medicine Clinic/Center
  • Princeton Junction, NJ
National Provider Identifier
1821699984
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
CAPITAL HEALTH OCCUPATIONAL HEALTH CENTER
Practice address
4065 Quakerbridge Rd Ste 104
Princeton Junction, NJ 08550-5243
Phone
(609) 689-5750
Fax
(609) 689-5749
NPI assigned
Nov 5, 2020
Last updated
Nov 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Authorized official

Name
Shane Fleming
Title
Cfo
Phone
(609) 815-7815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X NU Primary

Addresses

Primary practice location

4065 Quakerbridge Rd Ste 104
Princeton Junction, NJ 08550-5243

Mailing address

PO Box 28123
Belfast, ME 04915-2033

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
31D2145933Capital Health Occupational Health4065 Quakerbridge Rd, Princeton Junction, NJ 08550Certificate of waiverMar 18, 2028

National Provider Directory

National Provider Directory

Locations

4065 Quakerbridge Rd
Ste 104
Princeton Junction, NJ 08550
Phone (609) 689-5750

NPI Registry JSON

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1821699984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28123",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049152033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4065 QUAKERBRIDGE RD STE 104",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085505243",
            "telephone_number": "609-689-5750",
            "fax_number": "609-689-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL HEALTH OCCUPATIONAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "609-815-7815"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton Junction, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.