NPIMap

Organization Active NPI

Northern Anesthesia, P.a.

  • Anesthesiology Physician
  • Kinnelon, NJ
National Provider Identifier
1215010590
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
NORTHERN ANESTHESIA, P.A.
Practice address
8 Pinewood Ter
Kinnelon, NJ 07405-2186
Phone
(908) 653-9399
Fax
(908) 653-9305
NPI assigned
Oct 23, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Leslie Shrem, MD
Title
Anesthesiologist
Phone
(908) 653-9399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NJ Primary

Addresses

Primary practice location

8 Pinewood Ter
Kinnelon, NJ 07405-2186

Mailing address

PO Box 128
Union, NJ 07083-0128
Phone (908) 653-9399

National Provider Directory

National Provider Directory

Locations

197 Ridgedale Ave
Ste 100
Cedar Knolls, NJ 07927
Phone (973) 292-0700

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215010590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070830128",
            "telephone_number": "908-653-9399",
            "fax_number": "908-653-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 PINEWOOD TER",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052186",
            "telephone_number": "908-653-9399",
            "fax_number": "908-653-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ANESTHESIA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHREM",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "ANESTHESIOLOGIST",
        "authorized_official_telephone_number": "908-653-9399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinnelon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.