PRINCETON ROAD PEDIATRICS, PA – NPI #1861669244
Clinic/Center

PRINCETON ROAD PEDIATRICS, PA is an AHC clinic located in EAST WINDSOR, NJ. NPPES has assigned the NPI number 1861669244 to PRINCETON ROAD PEDIATRICS, PA on May 14, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is REBECCA F NOTTERMAN MD PA. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 11 years ago on Mar 20, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRINCETON ROAD PEDIATRICS, PA below.

NPI Profile for
PRINCETON ROAD PEDIATRICS, PA

NPI Number
1861669244
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRINCETON ROAD PEDIATRICS, PA
Former Legal Business Name: REBECCA F NOTTERMAN MD PA
Primary location
251 PRINCETON HIGHTSTOWN ROAD
SUITE 4
EAST WINDSOR, NJ 08520
Phone: (609) 448-8280 Fax: (609) 395-1978
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DENISE GARCIA
SITE/BILLING MANAGER
Phone: (609) 448-8280
Updated
Identifiers

Identifiers for PRINCETON ROAD PEDIATRICS, PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNJ1857908
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)
NJ MA015133
2080P0203X
- Pediatrics / Pediatric Critical Care Medicine
NJ 25MA03948900
208000000X
- Pediatrics
NJ 25MA03948900

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.