NPIMap

Organization Active NPI

Rik Anesthesia Associates, LLC.

  • Ambulatory Surgical Clinic/Center
  • Watchung, NJ
National Provider Identifier
1205005840
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
25MA06904200 Issued in NJ
Legal business name
RIK ANESTHESIA ASSOCIATES, LLC.
Practice address
20 Sherwood Dr
Watchung, NJ 07069-6136
Phone
(908) 668-4664
Fax
(908) 668-1411
NPI assigned
Feb 28, 2008
Last updated
Feb 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Dr. Teimouraz V Vassilidze, M.D., PH.D., DS.C
Title
Anesthesiologist/ Member
Phone
(732) 850-0132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 25MA06904200 NJ Primary

Addresses

Primary practice location

20 Sherwood Dr
Watchung, NJ 07069-6136

Mailing address

282 South Ave
Fanwood, NJ 07023-1372
Phone (732) 850-0132

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1205005840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 SOUTH AVE",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231372",
            "telephone_number": "732-850-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SHERWOOD DR",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696136",
            "telephone_number": "908-668-4664",
            "fax_number": "908-668-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIK ANESTHESIA ASSOCIATES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "VASSILIDZE",
        "authorized_official_first_name": "TEIMOURAZ",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "ANESTHESIOLOGIST/ MEMBER",
        "authorized_official_telephone_number": "732-850-0132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D., DS.C"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "25MA06904200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watchung, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.