Organization Active NPI

Tristate Anesthesia Physicians

  • Anesthesiology Physician
  • Salem, NJ
National Provider Identifier
1316525801
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
TRISTATE ANESTHESIA PHYSICIANS
Practice address
330 Salem Woodstown Rd Ste 8
Salem, NJ 08079-2034
Phone
(201) 847-8079
Fax
(201) 847-0059
NPI assigned
Mar 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Authorized official

Name
Changzheng Wang, MDNPI 1518969872
Title
Member
Phone
(908) 922-6797

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

330 Salem Woodstown Rd Ste 8
Salem, NJ 08079-2034

Mailing address

PO Box 629
Franklin Lakes, NJ 07417-0629
Phone (201) 847-8079

Other practice location 1

215 Sunset Rd Ste 300
Willingboro, NJ 08046-1108
Phone (201) 847-8079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210407002011 NJ Part B Supplier - Clinic/Group Practice 0042627176 Receives reassigned benefits from 2 practitioners
Practice locations: Salem, NJ; Willingboro, NJ

National Provider Directory

National Provider Directory

Locations

215 Sunset Rd
Ste 300
Willingboro, NJ 08046
Phone (856) 339-4466

500 W Main St
Wyckoff, NJ 07481
Phone (201) 647-9403

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1316525801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 629",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074170629",
            "telephone_number": "201-847-8079",
            "fax_number": "201-847-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 SALEM WOODSTOWN RD STE 8",
            "city": "SALEM",
            "state": "NJ",
            "postal_code": "080792034",
            "telephone_number": "201-847-8079",
            "fax_number": "201-847-0059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Sunset Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Willingboro",
            "state": "NJ",
            "postal_code": "080461108",
            "country_code": "US",
            "telephone_number": "201-847-8079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRISTATE ANESTHESIA PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "CHANGZHENG",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "908-922-6797",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.