Proffesional Anesthesia Physician, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

199869 Issued in NY

Legal business name

PROFFESIONAL ANESTHESIA PHYSICIAN, P.C.

Practice address

83-40 Woodheaven Blvd
Glendale, NY 11385

Phone

(718) 849-8700

Fax

(718) 966-2307

NPI assigned

Feb 9, 2009

Last updated

Feb 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nabil Elshammaa

Title

M.D.

Phone

(917) 763-0262

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Said I Sultan, MD

  • Anesthesiology Physician
  • Brooklyn, NY
  • NPI 1114969474
  NPD (past)

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234137600000",
    "number": "1144469586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 STAFFORD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103122855",
            "telephone_number": "718-966-2307",
            "fax_number": "718-966-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83-40 WOODHEAVEN BLVD",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "11385",
            "telephone_number": "718-849-8700",
            "fax_number": "718-966-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFFESIONAL ANESTHESIA PHYSICIAN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-02-09",
        "status": "A",
        "authorized_official_last_name": "ELSHAMMAA",
        "authorized_official_first_name": "NABIL",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "917-763-0262",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "199869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa A Price
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• Pulat Pulatov
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• Specialist in Glendale, NY
• Providers in Glendale, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.