Advanced Ambulatory Anesthesiologists LLC
Organization Active NPI Specialist · Millburn, NJ
NPI 1336142249 · NPPES record last updated Oct 11, 2023
Key facts
- NPI
- 1336142249
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- ADVANCED AMBULATORY ANESTHESIOLOGISTS LLC
- Practice address
- 37 E Willow St
Millburn, NJ 07041-1416 - Phone
- (973) 912-8111
- NPI assigned
- May 24, 2005
- Organization subpart
- No
Authorized official
- Name
- Richard I Stillman
- Title
- President
- Phone
- (973) 405-0549
Practitioners 22
-
George Doss, MD
-
Robert Forrest, MD
-
Philip Lutz, M.D.
-
Scott Jason Mellender, M.D.
-
David Rocamboli, D.O.
-
Richard I Stillman, M.D.
-
Lela Weems, M.D.
-
William John Willis, M.D.
-
Jay E Brecker, D.C.
-
Rimando M Cajes, PT
-
Juliane Iannuzzi, PAC
-
Jin H Kim, M.D.
-
Sheetal Patel, D.C.
-
Zendrie Andino Smith, P.T.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041210000030 | NJ | Part B Supplier - Clinic/Group Practice | 7214994326 |
Receives reassigned benefits from 11 practitioners Practice locations: Millburn, NJ |
National Provider Directory
Locations
90 Millburn Ave
Ste 204
Millburn, NJ 07041
Phone (908) 598-9199
37 E Willow St
Millburn, NJ 07041
Phone (973) 821-3387
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
37 E Willow St
Millburn, NJ 07041-1416
Mailing address
PO Box 629
Franklin Lakes, NJ 07417-0629
Phone (201) 847-8079
Other providers in Millburn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.