Bergen County Anesthesia LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

BERGEN COUNTY ANESTHESIA LLC

Practice address

28-06 Broadway
Fair Lawn, NJ 07410-3920

Phone

(201) 475-8940

NPI assigned

Feb 28, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Vijay Gupta, MDNPI 1508068693

Title

President

Phone

(347) 448-1666

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vijay Gupta, M.D.

  • Anesthesiology Physician
  • Fair Lawn, NJ
  • NPI 1508068693
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1255898987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 E CHERYL RD",
            "city": "PINE BROOK",
            "state": "NJ",
            "postal_code": "070589428",
            "telephone_number": "973-567-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28-06 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103920",
            "telephone_number": "201-475-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN COUNTY ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-448-1666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natanya Ben-Nun, HIS
• Erin Bennington, LCSW
• Jessica Rose Benson, M.A. CCC-SLP, CBIS
• David Berenbaum, RPT
• Bergen Chiropractic and Performance
• Bergen Endocrinology, PC
• Bergen Enterprises Center LLC
• Bergen Passaic Periodontal Group, PA
• Bergen Physical Therapy
• Bergen-Passaic Cataract Laser and Surgery Center, LLC

• Anesthesiology Physician in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.