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SOURCE INSTITUTE FOR HUMAN PERFORMANCE
NPI 1760641757
Specialist in Princeton, NJ

Active since June 04, 2008
66 WITHERSPOON ST, PRINCETON, NJ 08542(609) 925-1159 Get Directions Write a Review

NPPES record last updated: October 30, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Source Institute For Human Performance NPPES

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

SOURCE INSTITUTE FOR HUMAN PERFORMANCE (NPI 1760641757) is a healthcare organization registered as a specialist in Princeton, New Jersey and active in the NPI registry since June 2008. The organization lists David Nogaki, Director Of Training, as its authorized official.

NPPES Registry Identity

NPI1760641757
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameIVY LEAGUE HEALTH & FITNESS
Location Address66 WITHERSPOON STPrinceton, NJ 08542-3239
Mailing Address66 Witherspoon St, Pmb 403Princeton, NJ 08542-3226 · (609) 925-1159 · Fax (609) 925-1159
Phone(609) 925-1159
Organization SubpartNo
Authorized OfficialDavid NogakiDirector Of Training · (609) 925-1159
Enumeration DateJune 4, 2008
Last NPPES UpdateOctober 30, 2011
✔ NPI 1760641757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
66 WITHERSPOON ST, Princeton, NJ 08542
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Other Names 1

Doing Business AsSource Institute For Human Performance

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

Other Providers at the Same Location NPPES

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

TNC ENTERPRISES
Specialist
66 WITHERSPOON ST, PMB 403
PRINCETON, NJ 08542
Mercer County (609) 672-7267

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 Ivy League Health & Fitness's NPI number?

The NPI number for Ivy League Health & Fitness is 1760641757. It was assigned to this organization in the NPPES registry on June 4, 2008. The provider is doing business as Source Institute For Human Performance.

Where is Ivy League Health & Fitness located?

Ivy League Health & Fitness is located at 66 Witherspoon St, Princeton, NJ 08542. The listed phone number is (609) 925-1159.

What is Ivy League Health & Fitness's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Ivy League Health & Fitness was last updated on October 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.