PRINCETON HEALTHCARE AFFILIATED PHYSICIANS PC

Provider Demographics

• NPI: 1518194323
• Name: PRINCETON HEALTHCARE AFFILIATED PHYSICIANS PC
• Entity type: Organization
• Organization Name: PRINCETON HEALTHCARE AFFILIATED PHYSICIANS PC
• Other - Org Name: <UNAVAIL>
• Authorized Official - Title/Position: PRESIDENT
• Authorized Official - First Name: STEVEN
• Authorized Official - Middle Name: R
• Authorized Official - Last Name: BERGMANN
• Authorized Official - Credentials: MD PHD
• Authorized Official - Phone: 609-853-7220
• Mailing Address - Street 1: 4 PRINCESS RD
• Mailing Address - Street 2: SUITE 207
• Mailing Address - City: LAWRENCEVILLE
• Mailing Address - State: NJ
• Mailing Address - Zip Code: 08648-2322
• Mailing Address - Country: US
• Mailing Address - Phone: 609-734-7601
• Mailing Address - Fax: 609-844-1092
• Practice Address - Street 1: 5 PLAINSBORO ROAD
• Practice Address - Street 2: SUITE 300
• Practice Address - City: PLAINSBORO
• Practice Address - State: NJ
• Practice Address - Zip Code: 08536-1915
• Practice Address - Country: US
• Practice Address - Phone: 609-853-7272
• Practice Address - Fax: 609-853-7271
• EIN: <UNAVAIL>
• Is Organization Subpart?: Yes
• Parent Organization LBN: PRINCETON HEALTHCARE AFFILIATED PHYSICIANS PC
• Parent Organization TIN: <UNAVAIL>
• Enumeration Date: 2009-06-18
• Last Update Date: 2020-11-16

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	207R00000X	Allopathic & Osteopathic Physicians	Internal Medicine		Group - Multi-Specialty
No	207RP1001X	Allopathic & Osteopathic Physicians	Internal Medicine	Pulmonary Disease	Group - Multi-Specialty
No	208M00000X	Allopathic & Osteopathic Physicians	Hospitalist		Group - Multi-Specialty
No	1041C0700X	Behavioral Health & Social Service Providers	Social Worker	Clinical	Group - Multi-Specialty
No	133V00000X	Dietary & Nutritional Service Providers	Dietitian, Registered		Group - Multi-Specialty
No	207Q00000X	Allopathic & Osteopathic Physicians	Family Medicine		Group - Multi-Specialty
No	207RC0000X	Allopathic & Osteopathic Physicians	Internal Medicine	Cardiovascular Disease	Group - Multi-Specialty
No	207RG0100X	Allopathic & Osteopathic Physicians	Internal Medicine	Gastroenterology	Group - Multi-Specialty
No	207RG0300X	Allopathic & Osteopathic Physicians	Internal Medicine	Geriatric Medicine	Group - Multi-Specialty
No	207RH0002X	Allopathic & Osteopathic Physicians	Internal Medicine	Hospice and Palliative Medicine	Group - Multi-Specialty
No	207RH0003X	Allopathic & Osteopathic Physicians	Internal Medicine	Hematology & Oncology	Group - Multi-Specialty
No	363LP0808X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Psychiatric/Mental Health	Group - Multi-Specialty
No	363AM0700X	Physician Assistants & Advanced Practice Nursing Providers	Physician Assistant	Medical	Group - Multi-Specialty
No	363LA2100X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Acute Care	Group - Multi-Specialty
No	363LA2200X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Adult Health	Group - Multi-Specialty