Healthcare Provider Details

I. General information

NPI: 1457393258
Provider Name (Legal Business Name): PRINCETON BRAIN & SPINE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 W MAIN ST STE 267
FREEHOLD NJ
07728-2537
US

IV. Provider business mailing address

901 W MAIN ST STE 102
FREEHOLD NJ
07728-2537
US

V. Phone/Fax

Practice location:
  • Phone: 215-741-3141
  • Fax: 215-741-3143
Mailing address:
  • Phone: 609-921-9001
  • Fax: 215-741-3143

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number25MA07347600
License Number StateNJ

VIII. Authorized Official

Name: DR. MARK ROBERT MCLAUGHLIN
Title or Position: OWNER
Credential: M.D.
Phone: 215-741-3141