Individual provider Active NPI

Paul V Lacava, M.D.

  • Internal Medicine Physician
  • Princeton, NJ
National Provider Identifier
1942399365
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06917800 Issued in NJ
Practice address
419 N Harrison St
Suite 101
Princeton, NJ 08540-3521
Phone
(609) 924-9300
Fax
(609) 430-9481
NPI assigned
Oct 12, 2006
Last updated
Mar 25, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA06917800 NJ Primary

Addresses

Primary practice location

419 N Harrison St
Suite 101
Princeton, NJ 08540-3521

Mailing address

419 N Harrison St
Suite 101
Princeton, NJ 08540-3521
Phone (609) 924-9300

Other identifiers 8

IdentifierTypeStateIssuer
0493616000OtherNJAMERHLTH/IBC-PCP
8144109MedicaidNJ
P1539160OtherNJOXFORD-PCP
000314OtherNJAMERIHLTH ADMIN PCP
1938125OtherNJUNITED HEALTHCARE-PCP
2150502OtherNJAETNA HMO & NON HMO-PCP
110198270OtherNJRAILROAD MED-MONROE
110198275OtherNJRAILROAD MED.-PRINCETON

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101123000964 NJ Practitioner - Internal Medicine 0345250924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
JS Weill Medical College, Cornell University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Princeton Medical Group,P.a.Group PAC ID 6406835305, 36 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

419 N Harrison St
Princeton, NJ 08540-3594
Phone (609) 924-9300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA06917800NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Medical Group,P.a. Internal Medicine CurrentSince Jun 22, 1999 Accepting new patients
Princeton Medical Group, P.a. PastSince Jun 22, 1999 Accepting new patients

Locations

3 Liberty St
Plainsboro, NJ 08536
Phone (609) 924-9300

419 N Harrison St
Princeton, NJ 08540
Phone (609) 921-9437

419 N Harrison St
#4557
Princeton, NJ 08540
Phone (609) 655-8800

419 N Harrison St
Ste 101
Princeton, NJ 08540
Phone (609) 924-9300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: paul.lacavamd.p1@direct.princetonmedicalgrp.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1942399365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 N HARRISON ST",
            "address_2": "SUITE 101",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403521",
            "telephone_number": "609-924-9300",
            "fax_number": "609-430-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 N HARRISON ST",
            "address_2": "SUITE 101",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403521",
            "telephone_number": "609-924-9300",
            "fax_number": "609-430-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACAVA",
        "first_name": "PAUL",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06917800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERHLTH/IBC-PCP",
            "identifier": "0493616000",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8144109",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD-PCP",
            "identifier": "P1539160",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHLTH ADMIN PCP",
            "identifier": "000314",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE-PCP",
            "identifier": "1938125",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO & NON HMO-PCP",
            "identifier": "2150502",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MED-MONROE",
            "identifier": "110198270",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MED.-PRINCETON",
            "identifier": "110198275",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.