Healthcare Provider Details

I. General information

NPI: 1023948643
Provider Name (Legal Business Name): PLAINSBORO MEDICINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8104 RUE TER
PLAINSBORO NJ
08536-2136
US

IV. Provider business mailing address

8104 RUE TER
PLAINSBORO NJ
08536-2136
US

V. Phone/Fax

Practice location:
  • Phone: 732-930-4004
  • Fax:
Mailing address:
  • Phone: 732-930-4004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SAMVIT DAVE
Title or Position: AUTHORIZED REP
Credential: MD
Phone: 732-930-4004