NPIMap

Organization Active NPI

Essex Anesthesiolists PA

  • Anesthesiology Physician
  • Newark, NJ
National Provider Identifier
1083740591
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ESSEX ANESTHESIOLISTS PA
Practice address
495 N 13TH St
Newark, NJ 07107-1317
Phone
(973) 268-1400
Fax
(973) 268-5838
NPI assigned
Feb 26, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Bong Ho Choi, M.D.
Title
President
Phone
(973) 268-1400

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

495 N 13TH St
Newark, NJ 07107-1317

Mailing address

PO Box 1406
Bloomfield, NJ 07003-1406
Phone (973) 268-1400

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
3373703MedicaidNJ

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 25, 2007.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1083740591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1406",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070031406",
            "telephone_number": "973-268-1400",
            "fax_number": "973-268-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 N 13TH ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071071317",
            "telephone_number": "973-268-1400",
            "fax_number": "973-268-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX ANESTHESIOLISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "BONG HO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-268-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3373703",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.