NPIMap

Organization Active NPI

Stellar Anesthesia Associates LLC

  • Anesthesiology Physician
  • Bergenfield, NJ
National Provider Identifier
1265948517
Registry record updated Dec 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA0885600 Issued in NJ
Legal business name
STELLAR ANESTHESIA ASSOCIATES LLC
Practice address
1 N Washington Ave
Bergenfield, NJ 07621-2125
Phone
(443) 414-8201
NPI assigned
Dec 22, 2017
Last updated
Dec 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2017

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

Authorized official

Name
Dr. Abraham Reuven Lehman, MDNPI 1477797132
Title
Director
Phone
(443) 414-8201

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA0885600 NJ Primary

Addresses

Primary practice location

1 N Washington Ave
Bergenfield, NJ 07621-2125

Mailing address

28 Heights Rd
Clifton, NJ 07012-1215
Phone (443) 414-8201

Other identifiers 1

IdentifierTypeStateIssuer
0272361MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180508000255 NJ Part B Supplier - Clinic/Group Practice 4688938285 Receives reassigned benefits from 16 practitioners
Practice locations: Bloomfield, NJ; West Orange, NJ; Saddle Brook, NJ; Oradell, NJ; North Brunswick, NJ; Bergenfield, NJ
O20191212000376 NY Part B Supplier - Clinic/Group Practice 4688938285 Receives reassigned benefits from 3 practitioners
Practice locations: Bronx, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

1515 Broad St
Ste B140
Bloomfield, NJ 07003
Phone 7182225999213

555 Kinderkamack Rd
Oradell, NJ 07649
Phone (201) 261-2400

160 Pehle Ave
Ste 103
Saddle Brook, NJ 07663
Phone (201) 881-1000

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1513900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513900800000",
    "number": "1265948517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 HEIGHTS RD",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121215",
            "telephone_number": "443-414-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N WASHINGTON AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212125",
            "telephone_number": "443-414-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR ANESTHESIA ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-22",
        "last_updated": "2017-12-22",
        "status": "A",
        "authorized_official_last_name": "LEHMAN",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_middle_name": "REUVEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "443-414-8201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA0885600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0272361",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bergenfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2017; 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.