MEDICARE: PRINCETON HEALTHCARE SYSTEM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	37PC00304100	NJ

General Provider Information

NPI Number	:	1295853117
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRINCETON HEALTHCARE SYSTEM

Provider Business Mailing Address
First Line	:	51 HIBERNIA WAY
Second Line	:
City	:	FREEHOLD
State	:	NJ
Zip	:	07728-2828
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1460 LIVINGSTON AVE
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-1873
Country	:	US
Telephone Number	:	732-729-3600
Fax Number	:

Authorized Official
Title or Position	:	SENIOR PRIMARY THERAPIST
Name	:	RITA CIFELLI
Credential	:
Telephone Number	:	732-729-3600

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	08/22/2020

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