Organization Active NPI

Saddlebrook Anesthesia Services, P.C.

  • Anesthesiology Physician
  • Willingboro, NJ
National Provider Identifier
1275516916
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
SADDLEBROOK ANESTHESIA SERVICES, P.C.
Practice address
1000 Salem Rd
Suite B
Willingboro, NJ 08046-2852
Phone
(877) 476-6642
Fax
(914) 819-0061
NPI assigned
Nov 28, 2005
Last updated
Jun 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Authorized official

Name
Dr. Marc E. Koch, M.D.NPI 1629069497
Title
President & Ceo
Phone
(914) 637-3511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

1000 Salem Rd
Suite B
Willingboro, NJ 08046-2852

Mailing address

450 Mamaroneck Ave Ste 201
Harrison, NY 10528-2436
Phone (914) 637-2075

Other identifiers 1

IdentifierTypeStateIssuer
0103535MedicaidNJ

National Provider Directory

National Provider Directory

Locations

534 Avenue E
Fl 2
Bayonne, NJ 07002
Phone (201) 823-1303

1014 Haddonfield Rd
Cherry Hill, NJ 08002
Phone (732) 826-0059

385 Route 18
East Brunswick, NJ 08816
Phone (732) 613-9800

401 S Van Brunt St
Fl 4
Englewood, NJ 07631
Phone (610) 543-6800

220 Ridgedale Ave
Florham Park, NJ 07932
Phone (973) 295-6565

72 W Jimmie Leeds Rd
Ste 1600
Galloway, NJ 08205
Phone (609) 748-6766

21 Plymouth St
Montclair, NJ 07042
Phone (973) 746-5166

2480 State Route 27
North Brunswick, NJ 08902
Phone (732) 821-0011

663 Brace Ave
Perth Amboy, NJ 08861
Phone (732) 826-0059

21 Jefferson Plz
Ste 21
Princeton, NJ 08540

101 Burrs Rd
Ste A
Westampton, NJ 08060
Phone (609) 877-8400

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1275516916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 MAMARONECK AVE STE 201",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105282436",
            "telephone_number": "914-637-2075",
            "fax_number": "914-819-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SALEM RD",
            "address_2": "SUITE B",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080462852",
            "telephone_number": "877-476-6642",
            "fax_number": "914-819-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SADDLEBROOK ANESTHESIA SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-28",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "914-637-3511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0103535",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willingboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.