Organization Active NPI

Independent Anesthesia Services, Inc

  • Certified Registered Nurse Anesthetist
  • Edison, NJ
National Provider Identifier
1265474548
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
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

Updated by the provider on Jun 10, 2014

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)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.