Princeton Medical Acupuncture Center Professional LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

25MA07095100 Issued in NJ

Legal business name

PRINCETON MEDICAL ACUPUNCTURE CENTER PROFESSIONAL LLC

Practice address

15 Dogwood Dr
Plainsboro, NJ 08536-1959

Phone

(609) 269-5888

NPI assigned

May 17, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer LuanNPI 1588735690

Title

MD

Phone

(609) 520-0088

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer X. Luan

  • Pediatrics Physician
  • Princeton, NJ
  • NPI 1588735690

  NJ

  Medicare reassignment NPD Authorized official
• Steven Richard Delmaestro, M.D.

  • Internal Medicine Physician
  • Somerset, NJ
  • NPI 1851442206
  NPD (past)
• Dawn Maier, MD

  • Hospitalist Physician
  • Mount Holly, NJ
  • NPI 1750468401
  NPD (past)

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1972863439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 DOGWOOD DR",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085361959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 DOGWOOD DR",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085361959",
            "telephone_number": "609-269-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON MEDICAL ACUPUNCTURE CENTER PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "LUAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "609-520-0088",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NJ",
            "license": "25MA07095100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Princeton Healthcare Provider Group LLC
• Princeton Healthcare Provider Group LLC
• Princeton Healthcare System a New Jersey Non-Profit Corp
• Princeton Healthcare System, a New Jersey Non-Profit Corporation
• Princeton Healthcare System, a New Jersey Non-Profit Corporation
• Princeton Medical Group, P.a.
• Princeton Otolaryngology Assoc P a
• Princeton Surgical Associates, PA
• Amy Theresa Pulikeyil, MD
• Pulmonary & Sleep Disorders of N.J., PC

• Pain Clinic/Center in Plainsboro, NJ
• Providers in Plainsboro, NJ by specialty
• Pain Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.