1033142302 NPI number — ATRIUM AT PRINCETON, LLC

Table of content: DR. VALERIE MICHELLE MOK M.D. (NPI 1518313485)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033142302 NPI number — ATRIUM AT PRINCETON, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ATRIUM AT PRINCETON, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033142302
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/10/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5000 WINDROW DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PRINCETON
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08540-5003
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-987-1221
Provider Business Mailing Address Fax Number:
609-987-8310

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5000 WINDROW DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PRINCETON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08540-5003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-987-1221
Provider Business Practice Location Address Fax Number:
609-987-8310
Provider Enumeration Date:
07/09/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
LINTEAU
Authorized Official First Name:
MELISSA
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF CONTRACT MANAGEMENT
Authorized Official Telephone Number:
908-686-3233

Provider Taxonomy Codes

  • Taxonomy code: 314000000X , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)