Organization Active NPI

Princeton Neuromuscular Center, PC

  • Neurology Physician
  • Somerset, NJ
National Provider Identifier
1841588795
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
PRINCETON NEUROMUSCULAR CENTER, PC
Practice address
13 Clyde Rd
Suite 103
Somerset, NJ 08873-5037
Phone
(732) 421-7070
NPI assigned
Jul 13, 2011
Last updated
Jul 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

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

Authorized official

Name
Stephanus Busono
Title
MD
Phone
(732) 421-7070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

13 Clyde Rd
Suite 103
Somerset, NJ 08873-5037

Mailing address

13 Clyde Rd
Suite 103
Somerset, NJ 08873-5037
Phone (732) 421-7070

National Provider Directory

National Provider Directory

Locations

1600 Perrineville Rd
Ste 25
Monroe Twp, NJ 08831
Phone (609) 655-1945

13 Clyde Rd
Ste 103
Somerset, NJ 08873
Phone (732) 963-7996

NPI Registry JSON

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310515200000",
    "number": "1841588795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 CLYDE RD",
            "address_2": "SUITE 103",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735037",
            "telephone_number": "732-421-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 CLYDE RD",
            "address_2": "SUITE 103",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735037",
            "telephone_number": "732-421-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON NEUROMUSCULAR CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-13",
        "last_updated": "2011-07-13",
        "status": "A",
        "authorized_official_last_name": "BUSONO",
        "authorized_official_first_name": "STEPHANUS",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "732-421-7070"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; 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.