NPIMap

Organization Active NPI

Hazleton Anesthesia Services, P.C.

  • Anesthesiology Physician
  • Hazleton, PA
National Provider Identifier
1073841698
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
HAZLETON ANESTHESIA SERVICES, P.C.
Practice address
700 E Broad St
Hazleton, PA 18201-6835
Phone
(877) 580-4635
Fax
(570) 501-6203
NPI assigned
Nov 19, 2009
Last updated
Aug 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Authorized official

Name
Dr. Marc E. Koch, M.D.
Title
President & Ceo
Phone
(914) 491-9495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

700 E Broad St
Hazleton, PA 18201-6835

Mailing address

450 Mamaroneck Ave Ste 201
Harrison, NY 10528-2436
Phone (914) 637-2075

Other identifiers 1

IdentifierTypeStateIssuer
1023973930001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100115000709 PA Part B Supplier - Clinic/Group Practice 2365584141 Receives reassigned benefits from 80 practitioners
Practice locations: Lehighton, PA; Hazle Township, PA; Hazelton, PA

National Provider Directory

National Provider Directory

Locations

2128 Blakeslee Boulevard Dr E
Lehighton, PA 18235
Phone (484) 224-9970

Practitioners & affiliated clinicians

Practitioners 91

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.

View all 91

NPI Registry JSON

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1073841698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 MAMARONECK AVE STE 201",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105282436",
            "telephone_number": "914-637-2075",
            "fax_number": "914-633-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016835",
            "telephone_number": "877-580-4635",
            "fax_number": "570-501-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZLETON ANESTHESIA SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "914-491-9495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023973930001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.