NPIMap

Organization Active NPI

Centurion Anesthesia Surgical Centers LLC

  • Anesthesiology Physician
  • Valley Stream, NY
National Provider Identifier
1326707100
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
CENTURION ANESTHESIA SURGICAL CENTERS LLC
Practice address
811 Wilson St
Valley Stream, NY 11581-3527
Phone
(718) 550-8600
NPI assigned
Dec 9, 2021
Last updated
May 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Authorized official

Name
Avishai NeumanNPI 1093908022
Title
MD
Phone
(718) 550-8600

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 MULTIPLE SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

811 Wilson St
Valley Stream, NY 11581-3527

Mailing address

811 Wilson St
Valley Stream, NY 11581-3527
Phone (718) 550-8600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220110000263 NJ Part B Supplier - Clinic/Group Practice 9537551254 Receives reassigned benefits from 113 practitioners
Practice locations: Willingboro, NJ; Saddle Brook, NJ; Paterson, NJ; Englewood Cliffs, NJ; Hackensack, NJ; Bayonne, NJ; Bergenfield, NJ

National Provider Directory

National Provider Directory

Locations

680 Broadway
Ste 201
Paterson, NJ 07514
Phone (718) 540-8600

Practitioners & affiliated clinicians

Practitioners 113

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 113

NPI Registry JSON

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1326707100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 WILSON ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813527",
            "telephone_number": "718-550-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 WILSON ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813527",
            "telephone_number": "718-550-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURION ANESTHESIA SURGICAL CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-09",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "NEUMAN",
        "authorized_official_first_name": "AVISHAI",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-550-8600"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.