Organization Active NPI

Anesthesia Associates on the Palisades, P.C.

  • Anesthesiology Physician
  • Fair Lawn, NJ
National Provider Identifier
1104053917
Registry record updated Jun 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
239806 Issued in NY
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

Updated by the provider on Jun 24, 2009

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)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.