Active NPI
Old Bridge Anesthesiology PC
- Specialist
- Perth Amboy, NJ
National Provider Identifier
1225323967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- OLD BRIDGE ANESTHESIOLOGY PC
- Practice address
- 530 New Brunswick Ave
Perth Amboy, NJ 08861-3654 - Phone
- (201) 342-1205
- Fax
- (201) 342-1259
- NPI assigned
- Jun 10, 2011
- Organization subpart
- Yes
- Parent organization
- OLD BRIDGE ANESTHESIOLOGY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew Citron, MD
- Title
- V. President
- Phone
- (201) 342-1205
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
530 New Brunswick Ave
Perth Amboy, NJ 08861-3654
Mailing address
PO Box 135
Oradell, NJ 07649-0135
Phone (201) 342-1205
Other names 1
- Bay Pain Management
National Provider Directory
National Provider Directory- Part of
- Old Bridge Anesthesiology PC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307664000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322524800000",
"number": "1225323967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 135",
"city": "ORADELL",
"state": "NJ",
"postal_code": "076490135",
"telephone_number": "201-342-1205",
"fax_number": "201-342-1259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 NEW BRUNSWICK AVE",
"city": "PERTH AMBOY",
"state": "NJ",
"postal_code": "088613654",
"telephone_number": "201-342-1205",
"fax_number": "201-342-1259"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLD BRIDGE ANESTHESIOLOGY PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OLD BRIDGE ANESTHESIOLOGY",
"enumeration_date": "2011-06-10",
"last_updated": "2011-11-29",
"status": "A",
"authorized_official_last_name": "CITRON",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "V. PRESIDENT",
"authorized_official_telephone_number": "201-342-1205",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bay Pain Management",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Perth Amboy, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.