NPIMap

Organization Active NPI

Princeton Eye & Ear LLC

  • Otolaryngology Physician
  • Lawrenceville, NJ
National Provider Identifier
1902185945
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
PRINCETON EYE & EAR LLC
Practice address
2999 Princeton Pike
Lawrenceville, NJ 08648-3261
Phone
(609) 403-8843
NPI assigned
Aug 9, 2011
Last updated
May 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Authorized official

Name
Chetan ShahNPI 1750306734
Title
Physician
Phone
(609) 403-8843

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NU Primary

Addresses

Primary practice location

2999 Princeton Pike
Lawrenceville, NJ 08648-3261

Mailing address

PO Box 398
Bordentown, NJ 08505-0398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130524000180 NJ Part B Supplier - Clinic/Group Practice 4587802996 Receives reassigned benefits from 18 practitioners
Practice locations: Lawrenceville, NJ; Freehold, NJ

National Provider Directory

National Provider Directory

Locations

2999 Princeton Pike
Ste 2
Lawrenceville, NJ 08648
Phone (609) 403-8840

1050 Stony Hill Rd
Yardley, PA 19067
Phone (215) 504-1761

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1902185945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 398",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085050398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 PRINCETON PIKE",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086483261",
            "telephone_number": "609-403-8843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON EYE & EAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-09",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "CHETAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "609-403-8843"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.