Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Princeton Medical Group, PA

Organization Dermatology Physician · NPI 1063513679

Princeton Medical Group, PA is a Dermatology Physician 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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