Organization Active NPI

Nova Anesthesia Professionals

  • Anesthesiology Physician
  • Villanova, PA
National Provider Identifier
1073542254
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
NOVA ANESTHESIA PROFESSIONALS
Practice address
1501 Mount Pleasant Rd
Villanova, PA 19085-2112
Phone
(610) 527-1400
Fax
(610) 527-2775
NPI assigned
Jul 1, 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
Kelly Alexander
Title
Office Manager
Phone
(570) 386-2366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

1501 Mount Pleasant Rd
Villanova, PA 19085-2112

Mailing address

PO Box 428
Lehighton, PA 18235-0428
Phone (570) 386-2366

National Provider Directory

National Provider Directory

Locations

219 N Broad St
Fl 5
Philadelphia, PA 19107
Phone (215) 762-6070

1591 Medical Dr
Spc Inc
Pottstown, PA 19464

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073542254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182350428",
            "telephone_number": "570-386-2366",
            "fax_number": "570-386-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 MOUNT PLEASANT RD",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190852112",
            "telephone_number": "610-527-1400",
            "fax_number": "610-527-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA ANESTHESIA PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "570-386-2366"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villanova, PA

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.