Healthcare Provider Details

I. General information

NPI: 1417901521
Provider Name (Legal Business Name): PNP PEDIATRICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 N HARRISON ST PRINCETON SHOPPING CENTER
PRINCETON NJ
08540-3512
US

IV. Provider business mailing address

196 PRINCETON HIGHTSTOWN RD
WEST WINDSOR NJ
08550-1672
US

V. Phone/Fax

Practice location:
  • Phone: 609-921-3441
  • Fax: 609-921-3441
Mailing address:
  • Phone: 609-799-4311
  • Fax: 609-799-8117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ADAM BRETT NADDELMAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 609-799-4311