Organization Active NPI

Monocacy Anesthesia Company LLC

  • Pain Medicine (Anesthesiology) Physician
  • Newton, NJ
National Provider Identifier
1104243039
Registry record updated Apr 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
25MA07863200 Issued in NJ
Legal business name
MONOCACY ANESTHESIA COMPANY LLC
Practice address
80 Mill St
Newton, NJ 07860-1411
Phone
(973) 579-1660
NPI assigned
Mar 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2014

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

Authorized official

Name
Samuel G. Caruthers, M.D.
Title
Owner
Phone
(240) 675-0350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X 25MA07863200 NJ Primary

Addresses

Primary practice location

80 Mill St
Newton, NJ 07860-1411

Mailing address

PO Box 270
Massapequa Park, NY 11762-0270
Phone (631) 264-2035

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1104243039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117620270",
            "telephone_number": "631-264-2035",
            "fax_number": "631-264-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 MILL ST",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078601411",
            "telephone_number": "973-579-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONOCACY ANESTHESIA COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "CARUTHERS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-675-0350",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA07863200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.