Individual provider Active NPI

William Bradford Avery, MD

  • Anesthesiology Physician
  • Jersey City, NJ
National Provider Identifier
1245559459
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA08763900 Issued in NJ
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

Updated by the provider on May 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101210000803 NJ Practitioner - Anesthesiology 6507053998 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garden State Healthcare Associates LLCGroup PAC ID 8426190687, 171 clinicians
Centurion Anesthesia Surgical Centers LLCGroup PAC ID 9537551254, 51 clinicians

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

LicenseStateTypeSpecialty
25MA08763900NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Healthcare Associates, LLC CurrentSince Oct 1, 2012 Accepting new patients
Progressive Hudson Anesthesia, LLC Anesthesiology CurrentSince Jan 1, 2016 Accepting new patients
Centurion Anesthesia Surgical Centers LLC Anesthesiology CurrentSince Apr 12, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.