NPIMap

Organization Active NPI

Essex Ironbound Anesthesiologist, LLC

  • Anesthesiology Physician
  • Newark, NJ
National Provider Identifier
1083782890
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA02728700 Issued in NJ
Legal business name
ESSEX IRONBOUND ANESTHESIOLOGIST, LLC
Practice address
155 Jefferson St
Newark, NJ 07105-1706
Phone
(908) 490-0036
Fax
(908) 490-0067
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Authorized official

Name
Bong H Choi, M.D.NPI 1083782783
Title
President
Phone
(908) 490-0036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X 25MA02728700 NJ Primary

Addresses

Primary practice location

155 Jefferson St
Newark, NJ 07105-1706

Mailing address

PO Box 1923
Bloomfield, NJ 07003-1923
Phone (908) 490-0036

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1083782890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1923",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070031923",
            "telephone_number": "908-490-0036",
            "fax_number": "908-490-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 JEFFERSON ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051706",
            "telephone_number": "908-490-0036",
            "fax_number": "908-490-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX IRONBOUND ANESTHESIOLOGIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "BONG",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-490-0036",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA02728700",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 15, 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.