Edison Anesthesia at Oak Tree L.L.C.

Primary specialty

Ph.D. Medical GeneticsTaxonomy code 170100000X

License

MA05389500 Issued in NJ

Legal business name

EDISON ANESTHESIA AT OAK TREE L.L.C.

Practice address

3848 Park Ave
Edison, NJ 08820-2508

Phone

(732) 205-8250

Fax

(732) 205-8258

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Linda Kang

Title

Office Manager

Phone

(908) 646-4500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1255363032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3848 PARK AVENUE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202108",
            "telephone_number": "732-205-8250",
            "fax_number": "732-205-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3848 PARK AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202508",
            "telephone_number": "732-205-8250",
            "fax_number": "732-205-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDISON ANESTHESIA AT OAK TREE L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "908-646-4500"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "NJ",
            "license": "MA05389500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ph.D. Medical Genetics in Edison, NJ
• Providers in Edison, NJ by specialty
• Ph.D. Medical Genetics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.