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PRINCETON MEDICAL GROUP,P.A.
NPI 1063513679
Internal Medicine in Princeton, NJ

Active since September 26, 2006CLIA Certified · 2 labs
419 N HARRISON ST, SUITE 203, PRINCETON, NJ 08540(609) 924-9300(609) 430-9481 Get Directions Write a Review

NPPES record last updated: November 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Princeton Medical Group,p.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRINCETON MEDICAL GROUP,P.A. (NPI 1063513679) is a healthcare organization registered as an internal medicine in Princeton, New Jersey and active in the NPI registry since September 2006. The organization holds 2 active CLIA laboratory certificates and lists Susana S Gummel, Cfo, as its authorized official.

NPPES Registry Identity

NPI1063513679
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRINCETON MEDICAL GROUP,P.A.
Location Address419 N HARRISON ST, SUITE 203Princeton, NJ 08540-3521
Mailing Address419 N Harrison St, Suite 203Princeton, NJ 08540-3521 · (609) 924-9300 · Fax (609) 430-9481
Phone(609) 924-9300
Fax(609) 430-9481
Organization SubpartNo
Authorized OfficialSusana S GummelCfo · (609) 924-9300
Enumeration DateSeptember 26, 2006
Last NPPES UpdateNovember 1, 2024
NPPES CertifiedNovember 1, 2024
✔ NPI 1063513679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedDermatologyTaxonomy 207N00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · Obstetrics & GynecologyTaxonomy 363LX0001X
419 N HARRISON ST, Princeton, NJ 08540
Open in Google Maps ↗

Other Identifiers 4

Other7149Aetna Group Number
Other0082556000Amerihealth/ibc Spec Grp#
Medicaid2979306NJ
Other0082556004Amerihealth/ibc Pcp Grp#

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D0121415

Princeton Medical Group - Monroe Lab · Monroe Township, NJ
Active · expires Nov 21, 2027
CLIA Number31D0121415
Laboratory TypePhysician Office
Certificate Effective DateNovember 22, 2025
Certificate Expiration DateNovember 21, 2027
Laboratory DirectorMaryam Bakhtar
Laboratory Phone(609) 924-9300
Laboratory LocationPrinceton Medical Group - Monroe Lab2 Research Way Building 2, Suite 302, Monroe Township, NJ 08831
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 31D2046543

Princeton Medical Group Plainsboro · Plainsboro, NJ
Active · expires Jun 18, 2027
CLIA Number31D2046543
Laboratory TypePhysician Office
Certificate Effective DateJune 19, 2025
Certificate Expiration DateJune 18, 2027
Laboratory DirectorMaryam Bakhtar
Laboratory Phone(609) 924-9300
Laboratory LocationPrinceton Medical Group Plainsboro3 Liberty Street, Plainsboro, NJ 08536
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 31D0121725

Princeton Medical Group - Princeton · Princeton, NJ
Expired · Jul 31, 2026
CLIA Number31D0121725
Laboratory TypePhysician Office
Certificate Effective DateMarch 8, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorMaryam Bakhtar
Laboratory Phone(609) 924-9300
Laboratory LocationPrinceton Medical Group - Princeton419 N Harrison St Suite 101, Princeton, NJ 08540
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RINKU GANDHI AGACNP-BC
Nurse Practitioner (Adult Health)
419 N HARRISON ST
PRINCETON, NJ 08540
Mercer County (609) 924-9300
DR. EDWARD VON DER SCHMIDT III MD
Neurological Surgery
419 N HARRISON ST, SUITE 204
PRINCETON, NJ 08540
Mercer County (609) 924-3614
CHAD ERIC STOCKHAM M.D.
Internal Medicine
419 N HARRISON ST
PRINCETON, NJ 08540
Mercer County (609) 924-9300
DR. JULIA T. DESANCTIS M.D.
Radiology (Diagnostic Radiology)
419 N HARRISON ST
PRINCETON, NJ 08540
Mercer County (609) 921-3345
TIFFANI METHVIEN OD
Optometrist
419 N HARRISON ST
PRINCETON, NJ 08540
Mercer County (609) 921-9437
DR. SIDNEY JACOB GOLDFARB MD
Urology
419 N HARRISON ST, STE 206
PRINCETON, NJ 08540
Mercer County (609) 921-3008
CASEY WONG M.D.
Internal Medicine (Cardiovascular Disease)
419 N HARRISON ST
PRINCETON, NJ 08540
Mercer County (609) 924-9300
DR. ALLISON ELIZABETH TUCKER DO
Obstetrics & Gynecology
419 N HARRISON ST
PRINCETON, NJ 08540
Mercer County (609) 924-9300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Princeton Medical Group,p.A.'s NPI number?

The NPI number for Princeton Medical Group,p.A. is 1063513679. It was assigned to this organization in the NPPES registry on September 26, 2006.

Where is Princeton Medical Group,p.A. located?

Princeton Medical Group,p.A. is located at 419 N Harrison St Suite 203, Princeton, NJ 08540. The listed phone number is (609) 924-9300.

What is Princeton Medical Group,p.A.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Princeton Medical Group,p.A. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Princeton Medical Group,p.A. was last updated on November 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.