Physician Compare National (NPI:1710543756)

HEALTHCARE PROVIDER: LINDSEY SIBEL PA-C

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1710543756
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0345576039
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190802000549
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WEAVER
	Individual professional last name
Provider First Name	LINDSEY
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2019
	Individual professional's medical school graduation year
Primary Specialty	PHYSICIAN ASSISTANT
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	PRINCETON BRAIN AND SPINE, LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	8224075510
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	15
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	901 W MAIN ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 267
	Group Practice or individual's line 2 address
City	FREEHOLD
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	077282537
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7323338702
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310010
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UNIVERSITY MEDICAL CENTER OF PRINCETON AT PLAINSBORO
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	310005
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HUNTERDON MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	310044
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CAPITAL HEALTH MEDICAL CENTER - HOPEWELL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	310092
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	CAPITAL HEALTH REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	390258
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	ST MARY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1710543756)

HEALTHCARE PROVIDER: LINDSEY SIBEL PA-C

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information