NPIMap

Organization Active NPI

Princeton Medical Center

  • Psychiatric Hospital
  • Moorestown, NJ
National Provider Identifier
1891817433
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
44SC05219200 Issued in NJ
Legal business name
PRINCETON MEDICAL CENTER
Practice address
351 New Albany Rd
Moorestown, NJ 08057-1117
Phone
(856) 779-2341
Fax
(856) 608-6940
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Authorized official

Name
Ms. Donna M. Kiley, LCSW
Title
Director
Phone
(856) 779-2341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 44SC05219200 NJ Primary

Addresses

Primary practice location

351 New Albany Rd
Moorestown, NJ 08057-1117

Mailing address

351 New Albany Rd
Moorestown, NJ 08057-1117
Phone (856) 779-2341

Other names 1

  • Princeton House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Princeton Healthcare System10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

351 New Albany Rd
Moorestown, NJ 08057
Phone (856) 223-8787

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1891817433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 NEW ALBANY RD",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571117",
            "telephone_number": "856-779-2341",
            "fax_number": "856-608-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 NEW ALBANY RD",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571117",
            "telephone_number": "856-779-2341",
            "fax_number": "856-608-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "KILEY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "856-779-2341",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NJ",
            "license": "44SC05219200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Princeton House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moorestown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.