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PRINCETON ENDOSCOPY CENTER LLC NPI 1578525283


NPI Information

NPI: 1578525283
Provider Name: PRINCETON ENDOSCOPY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 31D1037721

Address:
731 ALEXANDER RD
SUITE 104
PRINCETON, NJ
ZIP 08540
Phone: (609) 452-1111
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PRINCETON ENDOSCOPY CENTER LLC is an ambulatory surgical clinic center in Princeton, NJ. PRINCETON ENDOSCOPY CENTER LLC NPI is 1578525283. The provider is registered as an organization entity type.

The provider's business location address is:

731 ALEXANDER RD
SUITE 104
PRINCETON, NJ
ZIP 08540-345
Phone: (609) 452-1111

The provider's authorized official is Rodney H. Lunn .
The authorized official title is Managing Partner and has the following contact phone number (615) 620-9300.

The CLIA number assigned to this NPI record is 31D1037721 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/6/2006 and was last updated on 9/26/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical23447NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10005288000OTHERNEW JERSEYAMERIHEALTH
20136003OTHERNEW JERSEYUNITED HEALTHCARE
3311189OTHERNEW JERSEYBLUE CROSS & BLUE SHIELD
47630779OTHERNEW JERSEYAETNA
5H81330MEDICARE UPINNEW JERSEY
6096377MEDICARE PINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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