Organization Active NPI

Old Bridge Anesthesiology PC

  • Specialist
  • Perth Amboy, NJ
National Provider Identifier
1225323967
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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 ANESTHESIOLOGYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

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.

Verify at the official NPI Registry.