Active NPI
Anesthesia Associates on the Palisades, P.C.
- Anesthesiology Physician
- Fair Lawn, NJ
National Provider Identifier
1104053917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 239806
- Legal business name
- ANESTHESIA ASSOCIATES ON THE PALISADES, P.C.
- Practice address
- 20-01 Maple Ave
Fair Lawn, NJ 07410-1523 - Phone
- (201) 791-8088
- Fax
- (201) 791-2202
- NPI assigned
- Jun 18, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ira Daniel Zubkoff, M.D.
- Title
- Physician/Owner
- Phone
- (201) 791-8088
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 239806 | NY | Primary |
Addresses
Primary practice location
20-01 Maple Ave
Fair Lawn, NJ 07410-1523
Mailing address
20-01 Maple Ave
Fair Lawn, NJ 07410-1523
Phone (201) 791-8088
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245801600000",
"number": "1104053917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20-01 MAPLE AVE",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074101523",
"telephone_number": "201-791-8088",
"fax_number": "201-791-2202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20-01 MAPLE AVE",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074101523",
"telephone_number": "201-791-8088",
"fax_number": "201-791-2202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANESTHESIA ASSOCIATES ON THE PALISADES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-18",
"last_updated": "2009-06-24",
"status": "A",
"authorized_official_last_name": "ZUBKOFF",
"authorized_official_first_name": "IRA",
"authorized_official_middle_name": "DANIEL",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "201-791-8088",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "NY",
"license": "239806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fair Lawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.