Individual provider Active NPI

Adisak Jesdanun, MD

  • Anesthesiology Physician
  • Edison, NJ
National Provider Identifier
1083671457
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MA26298 Issued in NJ
Practice address
205 May St
May Street Anesthesia
Edison, NJ 08861
Phone
(732) 826-4177
Fax
(732) 607-1160
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MA26298 NJ Primary

Addresses

Primary practice location

205 May St
May Street Anesthesia
Edison, NJ 08861

Mailing address

PO Box 387
Fords, NJ 08863-0387
Phone (732) 826-4177

Other identifiers 1

IdentifierTypeStateIssuer
2370506MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA26298NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
May Street Anesthesia Anesthesiology Past Accepting new patients
Young Hur M D P C Past Accepting new patients
Allied Digestive Health, LLC Anesthesiology PastSince Jan 1, 2015 Accepting new patients
Ocean Surgical Pavilion, PC Past Accepting new patients
Rock Associates LLC Anesthesiology Past Accepting new patients
Shore Gastroenterology Associates PC Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1083671457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 387",
            "city": "FORDS",
            "state": "NJ",
            "postal_code": "088630387",
            "telephone_number": "732-826-4177",
            "fax_number": "732-607-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MAY ST",
            "address_2": "MAY STREET ANESTHESIA",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08861",
            "telephone_number": "732-826-4177",
            "fax_number": "732-607-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESDANUN",
        "first_name": "ADISAK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "MA26298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2370506",
            "state": "NJ"
        }
    ],
    "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 Jul 13, 2026; 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.