ANESTHESIA ASSOCIATES AT ST. MICHAEL'S, LLC (NPI# 1831184225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831184225 |
| Entity Type | Organization |
| Organization Name | ANESTHESIA ASSOCIATES AT ST. MICHAEL'S, LLC |
| Practice Address |
268 Martin Luther King Jr Blvd Newark NJ 07102-2011 |
| Mailing Address |
Po Box 1593 Secaucus NJ 07096-1593 |
| Practice Telephone | 9738775034 |
| 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 | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8804702 | 05 |
| Street Address |
268 MARTIN LUTHER KING JR BLVD |
| City | NEWARK |
| State | NJ |
| Zip Code | 07102-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639174030 | Shuaib Akhtar | Anesthesiology | 268 Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2005-06-14 |
| 1588087530 | Doreen Lallo | Registered Nurse | 268 Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2014-01-28 |
| 1891090858 | Weight Loss Institute Inc | Specialist | 268 Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2011-01-21 |
| 1396922993 | Donna E Ryan | Physician Assistant | 268 Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2008-01-25 |
| 1457481954 | St Michaels Cardiology Associates | Internal Medicine | 268 Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2007-03-06 |
| 1356415913 | Vinayak D. Bodas | Pediatrics | 268 Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2006-11-17 |
| 1073687760 | Imelda N Devera-cagadoc | Registered Nurse | 268 Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2006-11-17 |
| 1891872412 | Fayez Shamoon | Internal Medicine | 268 Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2006-11-01 |
| 1679583330 | J&j St Michaels Pharmacy Inc. | Pharmacy | 268 Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2006-08-08 |
| 1306807938 | Roger Cooper | Specialist | 268 Martin Luther King Jr Blvd, St Michael Infectious Disease, Newark, NJ 07102-2011 | 2006-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
| 1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
| 1679042295 | Henry Paul Grayner | Specialist/Technologist | 100 Lock St, Newark, NJ 07102 | 2018-11-14 |
| 1548736838 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 | 2018-10-15 |
| 1962981407 | Crystal Kay-baune Mccown | Social Worker | 130 Orange St, Newark, NJ 07102 | 2018-08-07 |
| 1053808865 | Nubi Consultants Corp. Dba Aplus Home Care | Physical Therapist | 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 | 2018-04-17 |
| 1396249264 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 49 Lincoln Park, Newark, NJ 07102 | 2018-03-23 |
| 1568960896 | Saint James Health Inc | Clinic/Center | 36 Halsey Street, Newark, NJ 07102 | 2018-02-01 |
| 1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
| 1467974949 | Ahmad Mohammad Tawfiq Damati | Student in an Organized Health Care Education/Training Program | 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 | 2017-07-17 |
| Find all providers in zip 07102 | ||||
| Taxonomy Code | 207LC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Critical Care Medicine |
| An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and 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 |
|---|---|---|---|---|
| 1962472407 | Douglas T Jackson | Anesthesiology | 150 Bargen St, F 102, Newark, NJ 07103 | 2006-01-26 |
| 1851433080 | University Health Partnership | Anesthesiology | 150 Bergen St, Uh F-102, Newark, NJ 07103-2496 | 2007-02-13 |
| 1609920842 | Andrei Botea | Anesthesiology | 150 Bergen St, Newark, NJ 07103-2496 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538507389 | Bishoy F Hanna | Anesthesiology | 73 Winding Wood Dr Apt 4a, Sayreville, NJ 08872-2036 | 2013-06-13 |
| 1952649766 | Rita Grant Newman | Anesthesiology | 8 Dale Ave, Pompton Plains, NJ 07444-1339 | 2013-01-29 |
| 1689830960 | Brian Chu M.d.,p.c. | Anesthesiology | 52 Edelweiss Ln, Voorhees, NJ 08043-2819 | 2008-08-05 |
| 1326445123 | St. Luke's Warren Physician Group, PC | Anesthesiology | 185 Roseberry St, Phillipsburg, NJ 08865-1690 | 2014-11-24 |
| 1528298817 | Intensivists At Highland Pa | Anesthesiology | 1 Bay Avenue, Monclair, NJ 07042 | 2009-07-21 |
| 1104072727 | Syed Ali Riaz | Anesthesiology | 141 Route 70 E Ste B, Marlton, NJ 08053 | 2008-08-14 |
| 1700043668 | Victor I Adamov | Anesthesiology | 1 Cooper Plaza, Anesthesiology Department, Camden, NJ 08103-1489 | 2008-05-19 |
| 1750572541 | Ghias Moussa Md | Anesthesiology | 1815 Kennedy Blvd, Jersey City, NJ 07305-2180 | 2007-08-06 |
| 1952515751 | Elizabeth Kay Riccobono | Anesthesiology | 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 | 2007-05-10 |
| 1497870133 | Alexander Flaxman | Anesthesiology | 1930 Route 70 East, Suite N-70, Cherry Hill, NJ 08003-4203 | 2007-03-20 |
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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.