Organization Active NPI

GCG Anesthesia, LLC

  • Anesthesiology Physician
  • Staten Island, NY
National Provider Identifier
1043624711
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA0742260 Issued in NJ
Legal business name
GCG ANESTHESIA, LLC
Practice address
1534 Victory Blvd
Staten Island, NY 10314-3548
Phone
(718) 987-3338
NPI assigned
Jun 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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

Authorized official

Name
Maria Tecson
Title
MD
Phone
(718) 987-3338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 25MA0742260 NJ Primary

Addresses

Primary practice location

1534 Victory Blvd
Staten Island, NY 10314-3548

Mailing address

PO Box 6836
Ithaca, NY 14851-6836

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403222400000",
    "number": "1043624711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6836",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148516836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143548",
            "telephone_number": "718-987-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GCG ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-20",
        "status": "A",
        "authorized_official_last_name": "TECSON",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-987-3338"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA0742260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.