NPIMap

Organization Active NPI

Resolute Perioperative Services LLC

  • Anesthesiology Physician
  • Livingston, NJ
National Provider Identifier
1114686326
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
RESOLUTE PERIOPERATIVE SERVICES LLC
Practice address
22 Old Short Hills Rd Ste 112
Livingston, NJ 07039-5607
Phone
(973) 294-6185
NPI assigned
Dec 15, 2021
Last updated
Feb 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Authorized official

Name
Mehrdad RafizadehNPI 1790846483
Title
Authorized Official
Phone
(973) 294-6185

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: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

22 Old Short Hills Rd Ste 112
Livingston, NJ 07039-5607

Mailing address

41 Howell Rd
Mountain Lakes, NJ 07046-1350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220429001373 NJ Part B Supplier - Clinic/Group Practice 9436546041 Receives reassigned benefits from 39 practitioners
Practice locations: Mullica Hill, NJ; West Orange, NJ; Salem, NJ; Madison, NJ; Livingston, NJ; Edison, NJ

National Provider Directory

National Provider Directory

Locations

22 Old Short Hills Rd
Ste 112
Livingston, NJ 07039
Phone (973) 294-6185

242 Main St
Madison, NJ 07940
Phone (973) 294-6185

1280 Randolph Rd
Ste 301
Plainfield, NJ 07060
Phone (626) 532-5879

Practitioners & affiliated clinicians

Practitioners 45

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 45

NPI Registry JSON

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1114686326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 HOWELL RD",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 OLD SHORT HILLS RD STE 112",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395607",
            "telephone_number": "973-294-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESOLUTE PERIOPERATIVE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-15",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "RAFIZADEH",
        "authorized_official_first_name": "MEHRDAD",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "973-294-6185"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.