Organization Active NPI

Toms River Ambulatory Anesthesia LLC

  • Durable Medical Equipment & Medical Supplies
  • Manasquan, NJ
National Provider Identifier
1235069212
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TOMS RIVER AMBULATORY ANESTHESIA LLC
Practice address
240 Parker Ave
Manasquan, NJ 08736-2804
Phone
(732) 974-8100
Fax
(732) 974-9125
NPI assigned
May 21, 2026
Last updated
May 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
Theodore Ellis Kutzin IV, MD
Title
MD
Phone
(732) 610-9909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

240 Parker Ave
Manasquan, NJ 08736-2804

Mailing address

240 Parker Ave
Manasquan, NJ 08736-2804

National Provider Directory

National Provider Directory
Tax ID family
Toms River Ambulatory Anes5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

240 Parker Ave
Manasquan, NJ 08736
Phone (732) 612-8412

NPI Registry JSON

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

{
    "created_epoch": "1779321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1235069212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 PARKER AVE",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087362804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 PARKER AVE",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087362804",
            "telephone_number": "732-974-8100",
            "fax_number": "732-974-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMS RIVER AMBULATORY ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-21",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "KUTZIN",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "ELLIS",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "732-610-9909",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.