Organization Active NPI

Princeton Occupational Health & Family Medicine

  • Primary Care Clinic/Center
  • Hamilton, NJ
National Provider Identifier
1992759708
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MA05743 Issued in NJ
Legal business name
PRINCETON OCCUPATIONAL HEALTH & FAMILY MEDICINE
Practice address
2271 Route 33
Hamilton, NJ 08690-1749
Phone
(609) 584-0117
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gloria Cruz, M.D.NPI 1992760086
Title
Partner
Phone
(609) 584-0117

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
Primary Care Clinic/Center 261QP2300X MA05743 NJ Primary

Addresses

Primary practice location

2271 Route 33
Hamilton, NJ 08690-1749

Mailing address

2271 Route 33
Hamilton, NJ 08690-1749
Phone (609) 584-0117

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110426000267 NJ Part B Supplier - Clinic/Group Practice 0042495665 Receives reassigned benefits from 2 practitioners
Practice locations: Hamilton, NJ

National Provider Directory

National Provider Directory

Locations

2271 State Highway 33
Hamilton Square, NJ 08690
Phone (609) 584-0117

2271 Route 33
Ste 109
Trenton, NJ 08690
Phone (609) 584-0117

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992759708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2271 ROUTE 33",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086901749",
            "telephone_number": "609-584-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2271 ROUTE 33",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086901749",
            "telephone_number": "609-584-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON OCCUPATIONAL HEALTH & FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "609-584-0117",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "MA05743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.