Organization Active NPI

Endoscopic Anesthesia LLC

  • Anesthesiology Physician
  • Hackensack, NJ
National Provider Identifier
1063424745
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ENDOSCOPIC ANESTHESIA LLC
Practice address
170 Prospect Ave
Hackensack, NJ 07601-1820
Phone
(201) 708-6222
NPI assigned
Aug 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Betsy Rivera
Title
Asst MGR
Phone
(201) 986-1003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

170 Prospect Ave
Hackensack, NJ 07601-1820

Mailing address

30 W Century Rd
Suite 225
Paramus, NJ 07652-1433
Phone (201) 986-1003

National Provider Directory

National Provider Directory

Locations

30 W Century Rd
Ste 310
Paramus, NJ 07652

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063424745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W CENTURY RD",
            "address_2": "SUITE 225",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521433",
            "telephone_number": "201-986-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011820",
            "telephone_number": "201-708-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOSCOPIC ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "ASST MGR",
        "authorized_official_telephone_number": "201-986-1003"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.