NEW JERSEY ANESTHESIA GROUP, P.A. (NPI# 1669467049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669467049 |
| Entity Type | Organization |
| Organization Name | NEW JERSEY ANESTHESIA GROUP, P.A. |
| Practice Address |
703 Main St Paterson NJ 07503-2621 |
| Mailing Address |
Po Box 1593 Secaucus NJ 07096-1593 |
| Practice Telephone | 9737542323 |
| Mailing Telephone | 2016351003 |
| Mailing Fax Number | 2016351332 |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2009-01-26 |
| Authorized Official Name | BRIDGET CHAMPINO (OFFICE MANAGER) |
| Authorized Official Telephone | 2016351003 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 3379205 | 05 |
| Street Address |
703 MAIN ST |
| City | PATERSON |
| State | NJ |
| Zip Code | 07503-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831192269 | Subhashree Datta Bhutada | Pediatrics | 703 Main St, Paterson, NJ 07503-2621 | 2005-05-31 |
| 1629684048 | Michelle Szerling | Nurse Practitioner | 703 Main St, Paterson, NJ 07503-2621 | 2020-09-21 |
| 1851905822 | Ijeoma Christiana Onyeagocha | Nurse Practitioner | 703 Main St, Paterson, NJ 07503-2621 | 2020-09-07 |
| 1518571868 | Prathyusha Chennupati | Student in an Organized Health Care Education/Training Program | 703 Main St, Paterson, NJ 07503-2621 | 2020-09-03 |
| 1639782030 | Claudio Sam Santos | Nurse Practitioner | 703 Main St, Paterson, NJ 07503-2621 | 2020-08-25 |
| 1720690688 | Sewar Hisham Abuarqob | Student in an Organized Health Care Education/Training Program | 703 Main St, Paterson, NJ 07503-2621 | 2020-08-20 |
| 1336750413 | Trixie Kioko-kamps | Midwife | 703 Main St, Paterson, NJ 07503-2621 | 2020-08-12 |
| 1548870538 | Kristina Scott | Dietitian, Registered | 703 Main St, Paterson, NJ 07503-2621 | 2020-08-04 |
| 1972112530 | Devon Marie Cavazos | Social Worker | 703 Main St, Paterson, NJ 07503-2691 | 2020-07-29 |
| 1225656408 | Dinesh Parmar | Student in an Organized Health Care Education/Training Program | 703 Main St, Paterson, NJ 07503-2621 | 2020-07-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001426 | Kevin Vasquez | Student in an Organized Health Care Education/Training Program | St. Joseph's University Medical Hospital 703 Main St, Paterson, NJ 07503 | 2020-04-03 |
| 1689210346 | Denisa Stojakova | Internal Medicine | 37 Crooks Ave Ste 43, Paterson, NJ 07503 | 2019-11-18 |
| 1295206563 | Safa Travel LLC | Taxi | 205 Illinois Ave Fl 2, Paterson, NJ 07503 | 2018-12-16 |
| 1740780980 | Icp2 LLC | Pharmacy | 661main Street, Paterson, NJ 07503 | 2018-02-14 |
| 1194224329 | Reliable Laboratory | Clinical Medical Laboratory | 37 Crooks Avenue #43, Paterson, NJ 07503 | 2018-02-02 |
| 1487178703 | Field of Vision Services, LLC | Community/Behavioral Health | 235 Dakota St. Unit 1, Paterson, NJ 07503 | 2017-07-28 |
| 1982125043 | Saera Watanabe | Student in an Organized Health Care Education/Training Program | 703 Main Street, St. Joseph's Regional Medical Center, Department of Pediatrics, Paterson, NJ 07503 | 2017-06-29 |
| 1396266680 | Tulip Obgyn LLC | Obstetrics & Gynecology | 991 Main St Ste 2b, Paterson, NJ 07503 | 2017-06-28 |
| 1194251421 | Straight and Narrow, Inc | Substance Abuse Rehabilitation Facility | 410 Straight Street, Paterson, NJ 07503 | 2017-05-05 |
| 1083160956 | St. Josephs Regional Medical Center | Student in an Organized Health Care Education/Training Program | 400 Hospital Plaza, Paterson, NJ 07503 | 2016-08-30 |
| Find all providers in zip 07503 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 |
|---|---|---|---|---|
| 1932448925 | Medicsurg | Anesthesiology | 680 Broadway Ste 204, Paterson, NJ 07514-1527 | 2013-02-11 |
| 1063866259 | Avant Guard Medical | Anesthesiology | 1040 Main St, Fl 3, Paterson, NJ 07503-2212 | 2016-04-14 |
| 1043592066 | Horizon Anesthesia Group, PC | Anesthesiology | 680 Broadway, Paterson, NJ 07514-1524 | 2011-09-15 |
| 1790067718 | Nj Pain Solutions PC | Anesthesiology | 680 Broadway, Paterson, NJ 07514-1524 | 2011-09-15 |
| 1033497714 | Nj Pain & Spine PC | Anesthesiology | 1040 Main St, 3rd Floor, Paterson, NJ 07503-2212 | 2011-07-28 |
| 1013128016 | Ednan Sheikh | Anesthesiology | 1040 Main St, 3rd Fl, Paterson, NJ 07503-2212 | 2007-05-24 |
| 1316932700 | Total Pain Care, P.a. | Anesthesiology | 703 Main St, Paterson, NJ 07503-2621 | 2005-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517044 | Excellence Medical Care, PC | Anesthesiology | 110 S Grove St Fl 2, East Orange, NJ 07018-4102 | 2020-10-28 |
| 1851998488 | Kenneth Paul Michelette | Anesthesiology | 72 W Jimmie Leeds Rd Ste 2500, Galloway, NJ 08205-9413 | 2020-10-06 |
| 1407462815 | Optimal Pain & Spine | Anesthesiology | 757 Route 202/206 Ste 104, Bridgewater, NJ 08807-1763 | 2020-09-21 |
| 1457986119 | Windsor Management LLC Michael Ole Fridman Sole Mbr. | Anesthesiology | 831 Main Ave Ste 5831, Passaic, NJ 07055-8400 | 2020-03-03 |
| 1750914776 | Center for Regenerative Therapy and Pain Management | Anesthesiology | 459 Jack Martin Blvd Ste 4, Brick, NJ 08724-7724 | 2020-02-18 |
| 1083251375 | Joshua Persaud Md LLC | Anesthesiology | 2 Pine Meadow Ct, E Brunswick, NJ 08816 | 2019-12-05 |
| 1649816976 | Elizabeth Pavlovsky | Anesthesiology | 666 Plainsboro Rd Ste D, Plainsboro, NJ 08536-3030 | 2019-11-21 |
| 1265991772 | Interventional Spine and Surgery Group, LLC | Anesthesiology | 8901 Kennedy Blvd Fl 1, North Bergen, NJ 07047-5344 | 2019-03-14 |
| 1477017929 | Mountainside Pain Management PC | Anesthesiology | 185 Fairfield Ave Ste 2a, West Caldwell, NJ 07006-6417 | 2019-01-29 |
| 1043786346 | Neurosure | Anesthesiology | 326a 6th St, Saddle Brook, NJ 07663-6306 | 2018-10-15 |
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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.