Professional Anesthesia Physicians

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

PROFESSIONAL ANESTHESIA PHYSICIANS

Practice address

4 Hickory LN
Warren, NJ 07059-2602

Phone

(718) 255-6391

Fax

(718) 255-6392

NPI assigned

Jan 7, 2014

Organization subpart

No

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

Authorized official

Name

Changzheng Wang, M.D.NPI 1518969872

Title

President

Phone

(718) 255-6391

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Changzheng Wang, M.D.

  • Anesthesiology Physician
  • Denville, NJ
  • NPI 1518969872

  NY

  Medicare reassignment Care Compare group Authorized official
• Kathleen Chiong Nepomuceno, MD

  • Anesthesiology Physician
  • Elizabeth, NJ
  • NPI 1861463135
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1215359476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HICKORY LN",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070592602",
            "telephone_number": "718-255-6391",
            "fax_number": "718-255-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HICKORY LN",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070592602",
            "telephone_number": "718-255-6391",
            "fax_number": "718-255-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL ANESTHESIA PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "CHANGZHENG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-255-6391",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amy Michelle Provenzano, CPNP-PC
• Kai Pun, P.T.
• Melissa Quiros Castaneda, BCBA
• Vidya Juluru Rao, MD
• Rebecca Lu MD

• Anesthesiology Physician in Warren, NJ
• Providers in Warren, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.