Northeastern Anesthesia of New Jersey, PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

NORTHEASTERN ANESTHESIA OF NEW JERSEY, PC

Practice address

400 Franklin Tpke
Surgicare Surgical Associates of Mahwah, LLC
Mahwah, NJ 07430-3516

Phone

(914) 666-8866

Fax

(914) 666-6777

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Mitchell Cohn, MD

Title

President

Phone

(914) 666-8866

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1003935693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N BEDFORD RD",
            "address_2": "SUITE 200",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492553",
            "telephone_number": "914-666-8866",
            "fax_number": "914-666-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FRANKLIN TPKE",
            "address_2": "SURGICARE SURGICAL ASSOCIATES OF MAHWAH, LLC",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074303516",
            "telephone_number": "914-666-8866",
            "fax_number": "914-666-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEASTERN ANESTHESIA OF NEW JERSEY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "COHN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-666-8866",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0129453",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nexgen Health Wellness LLC
• Next Gen Health and Wellness LLC
• Next Gen Wellness Services LLC
• Hayley Niland, MSED CCC-SLP
• NJ Mobile Health Care, LLC
• Nydic Open MRI of America-Mahwah Valley, LLC
• Kyle O'Flaherty, PT
• Holly O'Rourke, CPC,ELI-MP
• Gladys Oommen
• Alexandra Morgan Orlan, RD

• Anesthesiology Physician in Mahwah, NJ
• Providers in Mahwah, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.