Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Princeton Medical Group, PA

Organization Dermatology Physician · NPI 1063513679

Princeton Medical Group, PA provides Dermatology Physician services in Princeton, New Jersey. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
14
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

419 N Harrison St Ste 203
Princeton, NJ 08540-3521
Phone: (609) 924-9300
Fax: (609) 430-9481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Dermatology Physician Taxonomy 207N00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Hematology & Oncology Physician Taxonomy 207RH0003X
Nephrology Physician Taxonomy 207RN0300X
Pulmonary Disease Physician Taxonomy 207RP1001X
Rheumatology Physician Taxonomy 207RR0500X
Medical Oncology Physician Taxonomy 207RX0202X
Nuclear Cardiology Physician Taxonomy 207UN0901X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Gynecology Physician Taxonomy 207VG0400X
Physician Assistant Taxonomy 363A00000X
Obstetrics & Gynecology Nurse Practitioner Taxonomy 363LX0001X

Record details

NPI number1063513679
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susana Gummel — Cfo · (609) 924-9300
NPI enumeratedSeptember 26, 2006
Last updated in NPPESNovember 1, 2024
Certification dateNovember 1, 2024
Mailing address419 N Harrison St, Suite 203, Princeton, NJ 08540-3521

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