Provider Demographics
NPI:1386966760
Name:PLAINSBORO MEDICAL ASSOCIATES PA
Entity type:Organization
Organization Name:PLAINSBORO MEDICAL ASSOCIATES PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZHUPING
Authorized Official - Middle Name:CHANG
Authorized Official - Last Name:KARAISZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-716-4800
Mailing Address - Street 1:5 SCHALKS CROSSING RD
Mailing Address - Street 2:SUITE 228
Mailing Address - City:PLAINSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08536-1620
Mailing Address - Country:US
Mailing Address - Phone:609-716-4800
Mailing Address - Fax:
Practice Address - Street 1:5 SCHALKS CROSSING RD
Practice Address - Street 2:SUITE 228
Practice Address - City:PLAINSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08536-1620
Practice Address - Country:US
Practice Address - Phone:609-716-4800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-25
Last Update Date:2010-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA71056207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8352101Medicaid
NJ8352101Medicaid