Organization Active NPI

Dreamland Anesthesia Limited Liability Co

  • Internal Medicine Physician
  • Watchung, NJ
National Provider Identifier
1003053067
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA41241 Issued in NJ
Legal business name
DREAMLAND ANESTHESIA LIMITED LIABILITY CO
Practice address
346 Valley Rd
Watchung, NJ 07069-6055
Phone
(732) 605-1237
Fax
(732) 605-1238
NPI assigned
Jan 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jagdish Thakur, M.DNPI 1083616353
Title
Authorized Representative
Phone
(732) 829-6902

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X 25MA04131700 NJ
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MA41241 NJ Primary

Addresses

Primary practice location

346 Valley Rd
Watchung, NJ 07069-6055

Mailing address

346 Valley Rd
Watchung, NJ 07069-6055
Phone (732) 605-1237

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1003053067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 VALLEY RD",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696055",
            "telephone_number": "732-605-1237",
            "fax_number": "730-605-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 VALLEY RD",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696055",
            "telephone_number": "732-605-1237",
            "fax_number": "732-605-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAMLAND ANESTHESIA LIMITED LIABILITY CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "THAKUR",
        "authorized_official_first_name": "JAGDISH",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "732-829-6902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA04131700",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA41241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watchung, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.