PRINCETON MEDICAL GROUP,P.A.
NPI 1063513679
Internal Medicine in Princeton, NJ
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
Specialties & Licenses 14
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Princeton Medical Group,p.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
36Medicare enrollment records show 36 clinicians reassign Medicare billing to Princeton Medical Group,p.A., which bills Medicare for the services they deliver. Of these, 27 practice at this address and 31 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 12
Nearest to this location (20)
See all 36Princeton, NJ 08540
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NJCertificate of Compliance 31D2046543
Princeton Medical Group Plainsboro · Plainsboro, NJCertificate of Compliance 31D0121725
Princeton Medical Group - Princeton · Princeton, NJFrequently 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.
Is Princeton Medical Group,p.A. enrolled in Medicare?
Yes. Princeton Medical Group,p.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Princeton Medical Group,p.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians in 12 Medicare specialties reassign their Medicare billing to Princeton Medical Group,p.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (12), Hematology/Oncology (4) and Endocrinology (3). Of these, 27 practice at this address and 31 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Princeton Medical Group,p.a. · NPI 1063513679
Internal Medicine organization in Princeton, New Jersey. Organization record, active in the CMS NPPES registry since September 26, 2006.
## Identity
- **NPI:** 1063513679 (Entity type: Organization)
- **Enumerated:** September 26, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Susana Gummel, CFO
## Practice location
- **Address:** 419 N HARRISON ST, SUITE 203, Princeton, NJ 08540-3521
- **Phone:** (609) 924-9300 · **Fax:** (609) 430-9481
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 36 clinicians in 12 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (12), Hematology/Oncology (4), Endocrinology (3); 27 practice at this address and 31 within 10 miles; [full list](https://npiprofile.com/npi/1063513679/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 1, 2024
- **Other identifiers:** Other 7149; Other 0082556000; Medicaid 2979306 (NJ); and 1 more
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063513679) · Data from the CMS NPPES public registry.