Princeton Road Pediatrics, PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

25MA03948900 Issued in NJ

Legal business name

PRINCETON ROAD PEDIATRICS, PA

Practice address

251 Princeton Hightstown Road
Suite 4
East Windsor, NJ 08520

Phone

(609) 448-8280

Fax

(609) 395-1978

NPI assigned

May 14, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Denise Alicia Garcia

Title

Site/Billing Manager

Phone

(609) 448-8280

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Rebecca F Notterman MD PA Former legal business name

Locations

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426809600000",
    "number": "1861669244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 PRINCETON HIGHTSTOWN ROAD",
            "address_2": "SUITE 4",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "08520",
            "telephone_number": "609-448-8280",
            "fax_number": "609-395-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 PRINCETON HIGHTSTOWN ROAD",
            "address_2": "SUITE 4",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "08520",
            "telephone_number": "609-448-8280",
            "fax_number": "609-395-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON ROAD PEDIATRICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2015-03-20",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "ALICIA",
        "authorized_official_title_or_position": "SITE/BILLING MANAGER",
        "authorized_official_telephone_number": "609-448-8280",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA03948900",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NJ",
            "license": "25MA03948900",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "MA015133",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MA03948900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1857908",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rebecca F Notterman MD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Premier Medical Health & Wellness LLC
• Premier Physical Therapy PC
• Prfaa LLC
• Prime Health of New Jersey PC
• Princeton Healthcare Affiliated Physicians PC
• Princeton Surgical Specialties, P.a.
• Sindhu G Purohit, O.T.R.
• Marcia L Questel, BCBA
• Kim Quick, LCSW
• Mervat Raafat

• Primary Care Clinic/Center in East Windsor, NJ
• Providers in East Windsor, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; 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.