Individual provider Active NPI

Jessica Ann Cebula, DO

  • Anesthesiology Physician
  • Jamaica, NY
National Provider Identifier
1356579270
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
248206-1 Issued in NY
Practice address
82-68 164TH Street
Jamaica, NY 11432
Phone
(718) 883-4454
NPI assigned
Jun 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 248206-1 NY Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 248206-1 NY

Addresses

Primary practice location

82-68 164TH Street
Jamaica, NY 11432

Mailing address

40-24 193Rd Street
1St Floor
Flushing, NY 11358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151002002501 NJ Practitioner - Anesthesiology 2264740695 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Rutgers New Jersey Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Valley Anesthesiology PAGroup PAC ID 0749194868, 85 clinicians
Pain Management Institute PAGroup PAC ID 0042265969, 5 clinicians

Practice addresses (Care Compare)

350 Engle St
Englewood, NJ 07631-1808
Phone (201) 871-6073

619 River Dr
Elmwood Park, NJ 07407-1317
Phone (201) 703-2900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
248206-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management Institute PA Anesthesiology CurrentSince Mar 1, 2015 Accepting new patients
Northern Valley Anesthesiology, P.a. Anesthesiology CurrentSince Mar 3, 2016 Accepting new patients
Leonid Lamper MD PC Anesthesiology CurrentSince Mar 1, 2015 Accepting new patients
James Marc Schlesinger MD PC Anesthesiology CurrentSince Nov 1, 2020 Accepting new patients

Locations

41 Arthur St
East Brunswick, NJ 08816
Phone (718) 948-8880

619 River Dr
Elmwood Park, NJ 07407
Phone (201) 703-2900

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

18 Mule Rd
Toms River, NJ 08755
Phone (201) 703-2900

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246320000000",
    "number": "1356579270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40-24 193RD STREET",
            "address_2": "1ST FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82-68 164TH STREET",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "718-883-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEBULA",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "248206-1",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "248206-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.