Active NPI
Independent Anesthesia Services, Inc
- Certified Registered Nurse Anesthetist
- Edison, NJ
National Provider Identifier
1265474548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- INDEPENDENT ANESTHESIA SERVICES, INC
- Practice address
- 1150 Amboy Ave
Edison, NJ 08837-2500 - Phone
- (732) 548-3200
- NPI assigned
- Jun 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Antonio Luciano, CRNA
- Title
- Authorized Official
- Phone
- (201) 804-2800
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | |||
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
1150 Amboy Ave
Edison, NJ 08837-2500
Mailing address
150 L Greaves Lane
Suite 452
Staten Island, NY 10308-2173
Phone (201) 804-2800
National Provider Directory
National Provider DirectoryLocations
150 Greaves Ln
Ste 452
Staten Island, NY 10308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402358400000",
"number": "1265474548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 L GREAVES LANE",
"address_2": "SUITE 452",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103082173",
"telephone_number": "201-804-2800",
"fax_number": "201-804-8883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 AMBOY AVE",
"city": "EDISON",
"state": "NJ",
"postal_code": "088372500",
"telephone_number": "732-548-3200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDEPENDENT ANESTHESIA SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-12",
"last_updated": "2014-06-10",
"status": "A",
"authorized_official_last_name": "LUCIANO",
"authorized_official_first_name": "ANTONIO",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "201-804-2800",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.