Deer Park Anesthesia Group, LLP.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

DEER PARK ANESTHESIA GROUP, LLP.

Practice address

160 E Main St
Bon Secours Community Hospital
Port Jervis, NY 12771-2253

Phone

(845) 858-7000

Fax

(845) 790-2675

NPI assigned

Jun 7, 2006

Organization subpart

No

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

Authorized official

Name

Hussein Omar, MDNPI 1912946088

Title

Director

Phone

(866) 885-2318

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Hussein Omar, PHYSICIAN, P.C.

  • Interventional Pain Medicine Physician
  • Liberty, NY
  • NPI 1912946088
  NPD (past) Authorized official

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104866698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CATHARINE ST",
            "address_2": "P.O. BOX 550",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013100",
            "telephone_number": "866-885-2318",
            "fax_number": "845-790-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E MAIN ST",
            "address_2": "BON SECOURS COMMUNITY HOSPITAL",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127712253",
            "telephone_number": "845-858-7000",
            "fax_number": "845-790-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEER PARK ANESTHESIA GROUP, LLP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "OMAR",
        "authorized_official_first_name": "HUSSEIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "866-885-2318",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02728861",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• County of Orange
• Kristen Cummings, LMSW
• Maria C. Czarnowski, LCSW-R
• Carl Michael Davidson Jr., PHARMD
• Leonora Bonleon Decastro, MD
• Nichole C Delavega
• Delaware River Medicine, PLLC
• Christine Anush Derian
• Geeta Prasanna Desai, MD
• Sujatha Hettiarachchi Desilva, DDS

• Anesthesiology Physician in Port Jervis, NY
• Providers in Port Jervis, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.