Organization Active NPI

Peter S Mueller, M.D.,P.a

  • Prescribing (Medical) Psychologist
  • Princeton, NJ
National Provider Identifier
1962628818
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
25MA02676000 Issued in NJ
Legal business name
PETER S MUELLER, M.D.,P.A
Practice address
601 Ewing St # a
Suite B-3
Princeton, NJ 08540-2757
Phone
(609) 924-4061
Fax
(609) 497-0051
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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

Authorized official

Name
Dr. Peter Sterling Mueller, MD., PA
Title
President
Phone
(609) 924-4061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TP0016X 25MA02676000 NJ Primary

Addresses

Primary practice location

601 Ewing St # a
Suite B-3
Princeton, NJ 08540-2757

Mailing address

601 Ewing St # a
Suite B-3
Princeton, NJ 08540-2757
Phone (609) 924-4061

Other identifiers 1

IdentifierTypeStateIssuer
3651509MedicaidNJ

National Provider Directory

National Provider Directory

Locations

601 Ewing St
Ste B3
Princeton, NJ 08540
Phone (609) 924-4061

601 Ewing St
Ste B3
Princeton, NJ 08540
Phone (609) 824-4061

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1962628818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 EWING ST # A",
            "address_2": "SUITE B-3",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402757",
            "telephone_number": "609-924-4061",
            "fax_number": "609-497-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 EWING ST # A",
            "address_2": "SUITE B-3",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402757",
            "telephone_number": "609-924-4061",
            "fax_number": "609-497-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER S MUELLER, M.D.,P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "STERLING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-924-4061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD., PA"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NJ",
            "license": "25MA02676000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3651509",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; 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.