Princeton House Provider Group Llc | |
905 Herrontown Rd Princeton NJ 08540-1901 | |
(609) 497-3300 | |
(609) 497-3370 |
Full Name | Princeton House Provider Group Llc |
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Speciality | Psychiatry & Neurology |
Location | 905 Herrontown Rd, Princeton, New Jersey |
Authorized Official Name and Position | David Cordon (PRESIDENT) |
Authorized Official Contact | 7327293623 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Princeton House Provider Group Llc 4 Princess Rd Suite 207 Lawrenceville NJ 08648-2322 Ph: (609) 243-0445 | Princeton House Provider Group Llc 905 Herrontown Rd Princeton NJ 08540-1901 Ph: (609) 497-3300 |
NPI Number | 1881078681 |
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Provider Enumeration Date | 07/13/2015 |
Last Update Date | 11/27/2023 |
Certification Date | 10/29/2020 |
Medicare PECOS PAC ID | 0244540540 |
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Medicare Enrollment ID | O20151116001851 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881078681 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Edward Steinberg |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1720012131 PECOS PAC ID: 6608780713 Enrollment ID: I20031113000487 |
Provider Name | Tunku Abubakar |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1275571515 PECOS PAC ID: 0345154043 Enrollment ID: I20031117000842 |
Provider Name | Cai Yuan |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1881782886 PECOS PAC ID: 1355245838 Enrollment ID: I20031125000876 |
Provider Name | Mark P Schwartz |
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Provider Type | Practitioner - Addiction Medicine |
Provider Identifiers | NPI Number: 1801833520 PECOS PAC ID: 0244225076 Enrollment ID: I20040420000061 |
Provider Name | Lily Z Gutterman |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1689752925 PECOS PAC ID: 4880684570 Enrollment ID: I20040514000626 |
Provider Name | Anna Marie O'kinsky |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245350941 PECOS PAC ID: 1355331737 Enrollment ID: I20040517001013 |
Provider Name | Kurt C Stuebben |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1356361133 PECOS PAC ID: 8325026867 Enrollment ID: I20040710000259 |
Provider Name | Jose S Vazquez |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1427142520 PECOS PAC ID: 4981675782 Enrollment ID: I20040804001383 |
Provider Name | Sahar F Awad |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1114957909 PECOS PAC ID: 6406811173 Enrollment ID: I20041122000704 |
Provider Name | Lynnette K Peoples |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1912962135 PECOS PAC ID: 9032155395 Enrollment ID: I20050708000087 |
Provider Name | Nila A Sheth |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1780752998 PECOS PAC ID: 9133162829 Enrollment ID: I20050822000403 |
Provider Name | Cindy S Yeung |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1356356141 PECOS PAC ID: 7315965142 Enrollment ID: I20051114000459 |
Provider Name | Barbara A Sirch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073553863 PECOS PAC ID: 8022037027 Enrollment ID: I20051118000669 |
Provider Name | Najeeb Riaz |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1225073455 PECOS PAC ID: 8729020532 Enrollment ID: I20061011000103 |
Provider Name | Khaja T Faisal |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1366562902 PECOS PAC ID: 4981792827 Enrollment ID: I20071112000027 |
Provider Name | Philippe J Khouri |
---|---|
Provider Type | Practitioner - Neuropsychiatry |
Provider Identifiers | NPI Number: 1689768830 PECOS PAC ID: 7113000472 Enrollment ID: I20080208000405 |
Provider Name | Lynne H Stein |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1700850336 PECOS PAC ID: 4981751724 Enrollment ID: I20090413000319 |
Provider Name | Arshad U Siddiqui |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1033257712 PECOS PAC ID: 3870641558 Enrollment ID: I20090507000284 |
Provider Name | Shahida Siddiqui |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1669549655 PECOS PAC ID: 8527117860 Enrollment ID: I20090518000077 |
Provider Name | Jacqueline H Zaremba |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649308313 PECOS PAC ID: 1153472717 Enrollment ID: I20090623000067 |
Provider Name | Firoz P Rahman |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1053351080 PECOS PAC ID: 9830121508 Enrollment ID: I20090813000384 |
Provider Name | Anatoliy M Yanovskiy |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1922029800 PECOS PAC ID: 7416933478 Enrollment ID: I20091002000539 |
Provider Name | Sanjay Varma |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1760593487 PECOS PAC ID: 2466589270 Enrollment ID: I20100428000308 |
Provider Name | Melanie Teasley |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1528157682 PECOS PAC ID: 9638077431 Enrollment ID: I20100428000369 |
Provider Name | Lorna M Stanley |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1700971959 PECOS PAC ID: 5092842708 Enrollment ID: I20100428000439 |
Provider Name | Neal B Schofield |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1053400119 PECOS PAC ID: 8921135542 Enrollment ID: I20100429000889 |
Provider Name | Robert H Bennett |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1487716957 PECOS PAC ID: 7810025293 Enrollment ID: I20100505000386 |
Provider Name | George F Wilson |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1417056276 PECOS PAC ID: 2062540743 Enrollment ID: I20100518000100 |
Provider Name | Madhurani Khare |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1508950684 PECOS PAC ID: 2062541782 Enrollment ID: I20100518000749 |
Provider Name | Chirayu B Parikh |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1164635033 PECOS PAC ID: 6901099357 Enrollment ID: I20101019000389 |
Provider Name | Shacarah L Fordjour |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982883443 PECOS PAC ID: 6608062286 Enrollment ID: I20101122000563 |
Provider Name | David J Cordon |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1619924859 PECOS PAC ID: 2961699442 Enrollment ID: I20101209000680 |
Provider Name | Bushra F Mirza |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1679771315 PECOS PAC ID: 2365612546 Enrollment ID: I20110825000294 |
Provider Name | Gregorio A Castillo |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1013095306 PECOS PAC ID: 9234394693 Enrollment ID: I20120710000333 |
Provider Name | Alexander K Kwon |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1770863904 PECOS PAC ID: 2163678400 Enrollment ID: I20120802000121 |
Provider Name | Kimberly C Johnson Gilliam |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1154594273 PECOS PAC ID: 9537316617 Enrollment ID: I20120824000036 |
Provider Name | Quamrul Hasan |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1992820898 PECOS PAC ID: 8820247158 Enrollment ID: I20121002000573 |
Provider Name | Carolyn G Bernacki |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1811128499 PECOS PAC ID: 4284860271 Enrollment ID: I20131121001313 |
Provider Name | Marina Zilpert |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1861754772 PECOS PAC ID: 8123257045 Enrollment ID: I20140218001281 |
Provider Name | Anatoliy I Vasilov |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1982832291 PECOS PAC ID: 6709009046 Enrollment ID: I20140514000981 |
Provider Name | Tamer W Wassef |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1255654752 PECOS PAC ID: 2961625041 Enrollment ID: I20140926001330 |
Provider Name | Gregory S Fernandez |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1194927863 PECOS PAC ID: 2466544853 Enrollment ID: I20150209001166 |
Provider Name | Kristi L Collins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588068118 PECOS PAC ID: 9739408675 Enrollment ID: I20150428000319 |
Provider Name | Swapna Dhillon |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1508135823 PECOS PAC ID: 6608176060 Enrollment ID: I20151208001271 |
Provider Name | Shirley M Rajan |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1902126816 PECOS PAC ID: 9830490085 Enrollment ID: I20151214001220 |
Provider Name | Susanne I Steinberg |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1427279462 PECOS PAC ID: 0042374456 Enrollment ID: I20160201000968 |
Provider Name | Jason A Minion |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1376822023 PECOS PAC ID: 1254635998 Enrollment ID: I20160201001879 |
Provider Name | Louise R Walpin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811181415 PECOS PAC ID: 6305875246 Enrollment ID: I20160622001492 |
Provider Name | Nirmal Trivedi |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1841697109 PECOS PAC ID: 9335430263 Enrollment ID: I20160623000096 |
Provider Name | Andrea R Carcamo |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1083904098 PECOS PAC ID: 4880906882 Enrollment ID: I20160928002306 |
Provider Name | Rehan Siddiqui |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1871736397 PECOS PAC ID: 9931497112 Enrollment ID: I20161004002915 |
Provider Name | Sonal Batra |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1023202439 PECOS PAC ID: 1951676238 Enrollment ID: I20171012002055 |
Provider Name | Ahmad M Hassan |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1427391598 PECOS PAC ID: 6901155043 Enrollment ID: I20180822001484 |
Provider Name | Mariame Barry |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1144669011 PECOS PAC ID: 1456643089 Enrollment ID: I20181218002987 |
Provider Name | Camtho Thi Truong |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164993044 PECOS PAC ID: 2365788122 Enrollment ID: I20190115003088 |
Provider Name | Anne J Boucard |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437455110 PECOS PAC ID: 0446550628 Enrollment ID: I20190307001111 |
Provider Name | Candace E Ibrahim |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548720055 PECOS PAC ID: 5698018158 Enrollment ID: I20190524000500 |
Provider Name | Stephanie Taormina |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1629487905 PECOS PAC ID: 3779824933 Enrollment ID: I20190828003172 |
Provider Name | Amish Dharmesh Patel |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1538423405 PECOS PAC ID: 1850640681 Enrollment ID: I20191001000042 |
Provider Name | Scott D Dunzik |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1023100203 PECOS PAC ID: 3870785116 Enrollment ID: I20200110000343 |
Provider Name | Loris M Murdock Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316583024 PECOS PAC ID: 9335574680 Enrollment ID: I20200115001741 |
Provider Name | Ayesha Ashraf |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1225487200 PECOS PAC ID: 3870915630 Enrollment ID: I20200624000868 |
Provider Name | Kafilat Y Ojo |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1083020119 PECOS PAC ID: 7416280946 Enrollment ID: I20200701001815 |
Provider Name | Kristyn N Pecsi |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1376907246 PECOS PAC ID: 6204251549 Enrollment ID: I20200804002756 |
Provider Name | April J Adkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225619414 PECOS PAC ID: 7719388172 Enrollment ID: I20210623002822 |
Provider Name | Lisa D Recchione |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184864720 PECOS PAC ID: 7618025552 Enrollment ID: I20210923001112 |
Provider Name | Megan Curtis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144799560 PECOS PAC ID: 4183019805 Enrollment ID: I20220316001549 |
Provider Name | Leonor Francisco |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174195168 PECOS PAC ID: 7113321845 Enrollment ID: I20220608001642 |
Provider Name | Meera Balasubramaniam |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1437392453 PECOS PAC ID: 1355582099 Enrollment ID: I20220623001076 |
Provider Name | Heather A Wurtz |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1285139352 PECOS PAC ID: 0547638819 Enrollment ID: I20221117000017 |
Provider Name | Jennifer L Yu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851008890 PECOS PAC ID: 6103297734 Enrollment ID: I20230118003077 |
Provider Name | Chelsea Hulme |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992170682 PECOS PAC ID: 1759685647 Enrollment ID: I20230904000091 |
Provider Name | Taru Dutt |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1689239048 PECOS PAC ID: 9133582489 Enrollment ID: I20230905000331 |
Provider Name | Samantha L Zion |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790548634 PECOS PAC ID: 3476990375 Enrollment ID: I20240327003539 |
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