Organization Active NPI

Atlantic Anesthesia Consultants LLC

  • Anesthesiology Physician
  • Edison, NJ
National Provider Identifier
1073796629
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA07189700 Issued in NJ
Legal business name
ATLANTIC ANESTHESIA CONSULTANTS LLC
Practice address
1921 Oak Tree Road
Suite 103
Edison, NJ 08820
Phone
(732) 494-1655
Fax
(732) 494-1255
NPI assigned
Dec 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Dr. Kaixuan Liu, MD
Title
Director
Phone
(732) 494-1655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 25MA07189700 NJ Primary

Addresses

Primary practice location

1921 Oak Tree Road
Suite 103
Edison, NJ 08820

Mailing address

1921 Oak Tree Road
Suite 103
Edison, NJ 08820
Phone (732) 494-1655

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1073796629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 OAK TREE ROAD",
            "address_2": "SUITE 103",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08820",
            "telephone_number": "732-494-1655",
            "fax_number": "732-494-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 OAK TREE ROAD",
            "address_2": "SUITE 103",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08820",
            "telephone_number": "732-494-1655",
            "fax_number": "732-494-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC ANESTHESIA CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "KAIXUAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-494-1655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA07189700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.