Provider Type Icon

PRINCETON HEALTHCARE PROVIDER GROUP LLC NPI 1629286000


NPI Information

NPI: 1629286000
Provider Name: PRINCETON HEALTHCARE PROVIDER GROUP LLC

Doing Business As: BRISTOL MYERS SQUIBB COMMUNITY HEALTH CLINIC-PEDIATRIC CLINIC

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1 PLAINSBORO RD
PLAINSBORO, NJ
ZIP 08536
Phone: (609) 853-7600
Get Directions

PRINCETON HEALTHCARE PROVIDER GROUP LLC is a pediatrics in Plainsboro, NJ. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PRINCETON HEALTHCARE PROVIDER GROUP LLC NPI is 1629286000. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bristol Myers Squibb Community Health Clinic-pediatric Clinic.

The provider's business location address is:

1 PLAINSBORO RD
PLAINSBORO, NJ
ZIP 08536-913
Phone: (609) 853-7600
Fax: (609) 853-7602

The provider's authorized official is Guilherme Valladares .
The authorized official title is Sr Vice President, Chief Financial and has the following contact phone number (609) 853-7107.

The enumeration date for this NPI number is 5/18/2007 and was last updated on 5/6/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16172300MEDICAIDNEW 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.