Pippen Health of New Jersey, P.a

Primary specialty

Obesity Medicine (Preventive Medicine) PhysicianTaxonomy code 2083B0002X

Legal business name

PIPPEN HEALTH OF NEW JERSEY, P.A

Practice address

100 Charles Ewing Blvd Ste 160
Ewing, NJ 08628-3456

Phone

(512) 270-0190

NPI assigned

Nov 20, 2024

Organization subpart

No

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

Authorized official

Name

Jon Larson, MD

Title

Medical Director

Phone

(512) 270-0190

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1831914191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 SPRINGDALE RD # 13A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787212465",
            "telephone_number": "512-270-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHARLES EWING BLVD STE 160",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086283456",
            "telephone_number": "512-270-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIPPEN HEALTH OF NEW JERSEY, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "512-270-0190",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083B0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obesity Medicine (Preventive Medicine) Physician in Ewing, NJ
• Providers in Ewing, NJ by specialty
• Obesity Medicine (Preventive Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.