Individual
DR. JOHN D PASSALARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
389 WALL ST, PRINCETON, NJ 08540-1516
(609) 921-2800
(609) 921-3499
Mailing address
389 WALL ST, PRINCETON, NJ 08540-1516
(609) 921-2800
(609) 921-3499
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA07224100
NJ
207UN0901X
Nuclear Cardiology Physician
25MA07224100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060063735
RAILROAD MEDICARE
—
01
—
1391578
BLUE SHIELD PA
PA
01
—
1391578
AMERIHEALTH ADMIN PPO
—
01
—
2080707000
KEYSTONE HEALTH PLAN
PA
01
—
2080707000
AMERIHEALTH HMO
—
01
—
223258770
HORZON BCBS OF NJ
NJ
01
—
223258770
BEECHSTREET
—
01
—
232258770
CIGNA
—
01
—
2607048
AETNA US HEALTHCARE
—
01
—
2K2546
HEALTHNET
—
05
—
8561605
—
NJ
01
—
P2523822
OXFORD HEALTH PLANS
—
Enumeration date
07/03/2006
Last updated
12/23/2025
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