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PRINCETON SPORTS AND FAMILY MEDICINE P.C. NPI 1164651410


NPI Information

NPI: 1164651410
Provider Name: PRINCETON SPORTS AND FAMILY MEDICINE, P.C.
Classification: Family Medicine - 207QS0010X
Entity Type: Organization

Specialization: Sports Medicine

CLIA Number: 31D0880803

Address:
3131 PRINCETON PIKE
BLDG 4A, SUITE 100
LAWRENCEVILLE, NJ
ZIP 08648
Phone: (609) 896-9190
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PRINCETON SPORTS AND FAMILY MEDICINE, P.C. is a sports medicine family medicine in Lawrenceville, NJ. The provider is a family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. PRINCETON SPORTS AND FAMILY MEDICINE, P.C. NPI is 1164651410. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3131 PRINCETON PIKE
BLDG 4A, SUITE 100
LAWRENCEVILLE, NJ
ZIP 08648-201
Phone: (609) 896-9190
Fax: (609) 896-3555

The provider's authorized official is Richard Levandowski .
The authorized official title is President and has the following contact phone number (609) 896-9190.

The CLIA number assigned to this NPI record is 31D0880803 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/8/2009 and was last updated on 6/24/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085U0001XRadiologyDiagnostic Ultrasound25MA08837900NEW JERSEYNo
2207QS0010XFamily MedicineSports Medicine25MA0033347NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1161628MEDICARE PINNEW JERSEY
26677720001OTHERNEW JERSEYNHIC CORP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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