Princeton Health System, Inc.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

717875 Issued in NJ

Legal business name

PRINCETON HEALTH SYSTEM, INC.

Practice address

9 Mercer St
Princeton, NJ 08540-6807

Phone

(609) 924-7799

Fax

(609) 497-0739

NPI assigned

May 16, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Beth Anne Young, MS, RDNPI 1093997124

Title

President

Phone

(609) 924-7799

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Beth Anne Young, MS, RD

  • Registered Dietitian
  • Princeton, NJ
  • NPI 1093997124

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1831356963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MERCER ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406807",
            "telephone_number": "609-924-7799",
            "fax_number": "609-497-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MERCER ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406807",
            "telephone_number": "609-924-7799",
            "fax_number": "609-497-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON HEALTH SYSTEM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-924-7799",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "717875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Princeton First Aid and Rescue Squad Inc
• Princeton Fitness & Wellness
• Princeton Foot and Ankle Associates
• Princeton Gastroenterology Assoc
• Princeton Health Psychiatric, LLC
• Princeton Healthcare Affiliated Physicians PC
• Princeton Healthcare Affiliated Physicians PC
• Princeton Healthcare Affiliated Physicians PC
• Princeton Healthcare Affiliated Physicians PC
• Princeton Healthcare SNF, LLC

• Registered Dietitian in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.