PRINCETON DERMATOLOGY ASSOCIATES PC
NPI 1336104561
Dermatology in Princeton, NJ
About Princeton Dermatology Associates Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRINCETON DERMATOLOGY ASSOCIATES PC (NPI 1336104561) is a healthcare organization registered as a dermatology in Princeton, New Jersey and active in the NPI registry since April 2006. The organization holds 3 active CLIA laboratory certificates, maintains 4 additional practice locations, and lists Roderick T Kaufmann, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
Other Identifiers 2
Group Practice 1
Accepted Insurance
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 Dermatology Associates Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Princeton Dermatology Associates PC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 11 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (17)
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 Compliance 31D1002187
Princeton Dermatology Associates · Monroe Township, NJCertificate of Compliance 31D1041974
Princeton Dermatology Associates · Princeton, NJCertificate of Compliance 31D1030752
Princeton Dermatology Associates · North Brunswick, 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 Dermatology Associates PC's NPI number?
The NPI number for Princeton Dermatology Associates PC is 1336104561. It was assigned to this organization in the NPPES registry on April 19, 2006.
Where is Princeton Dermatology Associates PC located?
Princeton Dermatology Associates PC is located at 208 Bunn Dr, Princeton, NJ 08540. The listed phone number is (609) 683-4999.
What is Princeton Dermatology Associates PC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Princeton Dermatology Associates PC enrolled in Medicare?
Yes. Princeton Dermatology Associates PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Princeton Dermatology Associates PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 2 Medicare specialties reassign their Medicare billing to Princeton Dermatology Associates PC. 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 Dermatology (11) and Nurse Practitioner (6). Of these, 5 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Princeton Dermatology Associates PC hold CLIA laboratory certificates?
Yes. 3 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.
What insurance does Princeton Dermatology Associates PC accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Princeton Dermatology Associates PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Princeton Dermatology Associates PC was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 Dermatology Associates Pc · NPI 1336104561
Dermatology organization in Princeton, New Jersey. Organization record, active in the CMS NPPES registry since April 19, 2006.
## Identity
- **NPI:** 1336104561 (Entity type: Organization)
- **Enumerated:** April 19, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Roderick Kaufmann, OWNER
## Practice location
- **Address:** 208 BUNN DR, Princeton, NJ 08540-2851
- **Phone:** (609) 683-4999 · **Fax:** (609) 683-0298
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 17 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (11), Nurse Practitioner (6); 5 practice at this address and 11 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 18, 2025
- **Other identifiers:** Other DA1887 (NJ); Other 2152529000 (NJ)
- **CLIA laboratory certificates:** 3 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1336104561) · Data from the CMS NPPES public registry.