Organization Active NPI

Mulberry Anesthesia

  • Anesthesiology Physician
  • Newark, NJ
National Provider Identifier
1285192419
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MULBERRY ANESTHESIA
Practice address
24 Merchant St
Newark, NJ 07105-2847
Phone
(973) 645-0000
Fax
(973) 645-0001
NPI assigned
Mar 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Authorized official

Name
Oscar Molina
Title
Manager
Phone
(973) 645-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

24 Merchant St
Newark, NJ 07105-2847

Mailing address

24 Merchant St
Newark, NJ 07105-2847
Phone (973) 645-0000

Other practice location 1

393 Mulberry St
Newark, NJ 07102-3417
Phone (973) 645-0000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551830400000",
    "number": "1285192419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MERCHANT ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071052847",
            "telephone_number": "973-645-0000",
            "fax_number": "973-645-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MERCHANT ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071052847",
            "telephone_number": "973-645-0000",
            "fax_number": "973-645-0001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "393 Mulberry St",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071023417",
            "country_code": "US",
            "telephone_number": "973-645-0000",
            "fax_number": "973-645-0001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MULBERRY ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-03-06",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-645-0000"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.