Princeton House Physician Group

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

Legal business name

PRINCETON HOUSE PHYSICIAN GROUP

Practice address

905 Herrontown Rd
Princeton, NJ 08540-1901

Phone

(609) 497-3300

NPI assigned

Oct 9, 2006

Organization subpart

No

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

Authorized official

Name

Richard Wohl

Title

Senior Vice President

Phone

(609) 497-3300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Mohammed Nazrul Islam, M.D.

  • Child & Adolescent Psychiatry Physician
  • Mount Holly, NJ
  • NPI 1558472977
  NPD (past)

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841387073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 HERRONTOWN RD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401901",
            "telephone_number": "609-497-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 HERRONTOWN RD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401901",
            "telephone_number": "609-497-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON HOUSE PHYSICIAN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOHL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "609-497-3300"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4617703",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Princeton Healthcare System, a New Jersey Non-Profit Corporation
• Princeton Healthcare System, a New Jersey Non-Profit Corporation
• Princeton Healthcare System, a New Jersey Non-Profit Corporation
• Princeton Healthcare System, a New Jersey Non-Profit Corporation
• Princeton Heart Group
• Princeton House Provider Group LLC
• Princeton Integral Endocrinology, LLC
• Princeton Integrative Wellness LLC
• Princeton Internal Medicine and Geriatrics LLC
• Princeton Interventional Cardiology PA

• Cognitive & Behavioral Psychologist in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Cognitive & Behavioral Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.