NORTHEAST ANESTHESIA GROUP, LLC (NPI# 1356625404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356625404 |
| Entity Type | Organization |
| Organization Name | NORTHEAST ANESTHESIA GROUP, LLC |
| Practice Address |
9226 Kennedy Blvd Unit A North Bergen NJ 07047-5312 |
| Mailing Address |
Po Box 79 Bayonne NJ 07002 |
| Practice Telephone | 2013396971 |
| Mailing Telephone | 2013134650 |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2011-10-07 |
| Authorized Official Name | MR. GEORGE JOHN BUSSANICH (PRESIDENT) |
| Authorized Official Telephone | 2013134650 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 25MA06277300 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
9226 KENNEDY BLVD UNIT A |
| City | NORTH BERGEN |
| State | NJ |
| Zip Code | 07047-5312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144200445 | Demetrios S Econopouly | Podiatrist | 9226 Kennedy Blvd, 2nd Floor, North Bergen, NJ 07047-5312 | 2006-01-20 |
| 1184009326 | Hudson Bergen Medical Center LLC | Clinic/Center | 9226 Kennedy Blvd, Unit A, North Bergen, NJ 07047-5312 | 2015-07-29 |
| 1639308877 | Palisades Anesthesia Associates LLC | Anesthesiology | 9226 Kennedy Blvd, Unit A, North Bergen, NJ 07047-5312 | 2009-07-09 |
| 1659578664 | John Sotiriadis | Internal Medicine | 9226 Kennedy Blvd, North Bergen, NJ 07047-5312 | 2007-07-02 |
| 1194883249 | Gino S Ramundo Family Chiropractor PC | Physical Therapist | 9226 Kennedy Blvd, 2nd Flr, North Bergen, NJ 07047-5312 | 2006-12-04 |
| 1437229135 | County Line Endoscopy & Surgical Center LLC | Clinic/Center | 9226 Kennedy Blvd, Unit A, North Bergen, NJ 07047 | 2006-11-09 |
| 1932219573 | Peter Caride Md LLC | Internal Medicine | 9226 Kennedy Blvd, Suite A, North Bergen, NJ 07047-5312 | 2006-08-30 |
| 1689784381 | Peter Caride | Internal Medicine | 9226 Kennedy Blvd, Unit A, North Bergen, NJ 07047-5312 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850490 | Maria Purita Yballe | Nurse Practitioner | 8100 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-10-29 |
| 1639799646 | Red Oak Pharmacy Corp | Pharmacy | 9225 John F Kennedy Blvd, Unit F, North Bergen, NJ 07047 | 2020-04-20 |
| 1811520091 | Andres A Varilias | Pharmacist | 7917 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-02-17 |
| 1669016986 | Rebecca Lee | Dentist | 3123 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2019-10-30 |
| 1720648439 | Hannah Joy Guharajan | Speech-Language Pathologist | 5665 John F. Kennedy Blvd, Apt. 508, North Bergen, NJ 07047 | 2019-06-14 |
| 1417417080 | Chandini Sajja | Student in an Organized Health Care Education/Training Program | 7600 River Road, North Bergen, NJ 07047 | 2019-03-20 |
| 1215455522 | Xavier Steven Alzate | Specialist/Technologist | 338 75th Street, 2b, North Bergen, NJ 07047 | 2017-09-07 |
| 1962923151 | Hala Altunji | Dentist | 8407 Jfk Blvd E, North Bergen, NJ 07047 | 2017-06-28 |
| 1871023457 | Diego Nieto | Specialist | 6112 Durham Ave, North Bergen, NJ 07047 | 2017-06-15 |
| 1326578105 | Hudson Hills Senior Living, LLC | Nursing Care | 3505 Bergen Tpke, North Bergen, NJ 07047 | 2017-06-14 |
| Find all providers in zip 07047 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548724305 | Anesthesia Specialists of Nj | Anesthesiology | 7600 River Rd, North Bergen, NJ 07047-6217 | 2019-01-25 |
| 1124568019 | Hudson Anesthesia Services, PC | Anesthesiology | 7600 River Rd, Hackensack Umc Palisades, North Bergen, NJ 07047-6217 | 2017-02-27 |
| 1831569524 | Ambulatory Center for Endoscopy, LLC | Anesthesiology | 7600 River Rd, 4th Floor, North Bergen, NJ 07047-6217 | 2015-10-07 |
| 1922271329 | Ya-horng Chang | Anesthesiology | 7600 River Rd, 4th Floor, North Bergen, NJ 07047-6217 | 2008-04-07 |
| 1841246477 | Garden State Anesthesia Services, Pa | Anesthesiology | 7600 River Rd, Palisades Medical Center, North Bergen, NJ 07047-6217 | 2006-05-25 |
| 1649240631 | Randyll Pavia | Anesthesiology | 7600 River Rd, Palisades Medical Center, North Bergen, NJ 07047-6217 | 2006-01-24 |
| 1215924196 | Alexander Portugal | Anesthesiology | 7600 River Rd, Palisades Medical Center, North Bergen, NJ 07047-6217 | 2005-10-05 |
| 1982691895 | Samundar Singh | Anesthesiology | 7600 River Rd, Palisades Medical Center, North Bergen, NJ 07047-6217 | 2005-10-05 |
| 1114910007 | Yana Gordon | Anesthesiology | 7600 River Rd, Palisades Medical Center, North Bergen, NJ 07047-6217 | 2005-08-25 |
| 1407849482 | Young In Choi | Anesthesiology | 7600 River Rd, Palisades Medical Center, North Bergen, NJ 07047-6217 | 2005-08-25 |
| Find all providers in NORTH BERGEN | ||||
| City | NORTH BERGEN |
| Zip Code | 07047 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.