Active NPI
William Bradford Avery, MD
- Anesthesiology Physician
- Jersey City, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA08763900
- Practice address
- 270 Marin Blvd
Apt. 5 L
Jersey City, NJ 07302-3653 - Phone
- (860) 922-7723
- NPI assigned
- May 27, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25MA08763900 | NJ | Primary |
Addresses
Primary practice location
270 Marin Blvd
Apt. 5 L
Jersey City, NJ 07302-3653
Mailing address
270 Marin Blvd
Apt. 5 L
Jersey City, NJ 07302-3653
Phone (860) 922-7723
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
176 Palisade Ave
Jersey City, NJ 07306-1121
Phone (201) 795-8200
190 Midland Ave
Saddle Brook, NJ 07663-6408
Phone (718) 540-8600
308 Willow Ave
Hoboken, NJ 07030-3808
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08763900 | NJ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garden State Healthcare Associates, LLC | Current | Accepting new patients | |
| Progressive Hudson Anesthesia, LLC | Anesthesiology | Current | Accepting new patients |
| Centurion Anesthesia Surgical Centers LLC | Anesthesiology | Current | Accepting new patients |
| Ijkg Opco LLC | Current | Accepting new patients | |
| Hudson Anesthesiology Services, LLC | Anesthesiology | Past | Accepting new patients |
Locations
321 Essex St
Hackensack, NJ 07601
Phone (201) 692-9800
308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574
190 Midland Ave
Saddle Brook, NJ 07663
Phone (201) 549-9998
Interoperability endpoints
- william.avery@direct.bayonnemedicalcenter.md
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Bayonne, NJ
- NPI 1700014545
-
- Anesthesiology Physician
- Valley Stream, NY
- NPI 1326707100
NJ
-
- Anesthesiology Physician
- Saddle Brook, NJ
- NPI 1477887446
-
- Interventional Pain Medicine Physician
- Paramus, NJ
- NPI 1568209658
-
- Skilled Nursing Facility
- Bayonne, NJ
- NPI 1437356755
-
- Anesthesiology Physician
- Hoboken, NJ
- NPI 1316978414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274918400000",
"number": "1245559459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 MARIN BLVD",
"address_2": "APT. 5 L",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073023653",
"telephone_number": "860-922-7723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 MARIN BLVD",
"address_2": "APT. 5 L",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073023653",
"telephone_number": "860-922-7723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVERY",
"first_name": "WILLIAM",
"middle_name": "BRADFORD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-27",
"last_updated": "2010-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA08763900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.