Active NPI
Crispino Punzalan, M.D.
- Anesthesiology Physician
- Montclair, NJ
National Provider Identifier
1114964699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MA40516
- Practice address
- 1 Bay Ave
Anesthesia Dept.
Montclair, NJ 07042-4837 - Phone
- (973) 429-6250
- NPI assigned
- Jun 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MA40516 | NJ | Primary |
Addresses
Primary practice location
1 Bay Ave
Anesthesia Dept.
Montclair, NJ 07042-4837
Mailing address
PO Box 35088
Montclair Anesthesia
Newark, NJ 07193-5088
Phone (800) 720-1664
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1757202 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA40516 | NJ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-County Pain Management & Rehabilitation, PA | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Kearny, NJ
- NPI 1194760801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1114964699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35088",
"address_2": "MONTCLAIR ANESTHESIA",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071935088",
"telephone_number": "800-720-1664",
"fax_number": "207-753-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BAY AVE",
"address_2": "ANESTHESIA DEPT.",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070424837",
"telephone_number": "973-429-6250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUNZALAN",
"first_name": "CRISPINO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "MA40516",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1757202",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Montclair, NJ
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- Pinky Pun, NP
- Ina Qema, MS,MFT
- Huma Quadir
- Dara Kristen Selene Querimit, PH.D.
- Zelene Quiles, L.AC.
- Rae Dumont, Family Consults LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.