NPIMap

Organization Active NPI

Shrewsbury Ambulatory Anesthesia LLC

  • Anesthesiology Physician
  • Shrewsbury, NJ
National Provider Identifier
1356691885
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA04931500 Issued in NJ
Legal business name
SHREWSBURY AMBULATORY ANESTHESIA LLC
Practice address
655 Shrewsbury Avenue
Shrewsbury, NJ 07702
Phone
(732) 450-6000
Fax
(732) 450-1798
NPI assigned
Sep 12, 2012
Last updated
Sep 12, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
ATLANTIC AMBULATORY ANESTHESIA ASSOC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Authorized official

Name
Dr. Theodore E Kutzin, M.D.NPI 1447334370
Title
Managing Member
Phone
(732) 264-1127

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 Physician 207L00000X 25MA04931500 NJ Primary

Addresses

Primary practice location

655 Shrewsbury Avenue
Shrewsbury, NJ 07702

Mailing address

PO Box 188
Little Silver, NJ 07739-0188
Phone (732) 264-1127

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130305000423 NJ Part B Supplier - Clinic/Group Practice 4385899962 Receives reassigned benefits from 389 practitioners
Practice locations: Parsippany, NJ; Red Bank, NJ; Riverdale, NJ; Sewell, NJ; Newton, NJ; Shrewsbury, NJ; Somers Point, NJ; South Amboy, NJ…

National Provider Directory

National Provider Directory
Part of
Atlantic Amb Anes Assoc Inc

Locations

254 Columbia Tpke
Florham Park, NJ 07932
Phone (973) 301-0500

901 W Main St
Ste 302
Freehold, NJ 07728
Phone (732) 303-1616

195 US Highway 9
Ste 210
Manalapan, NJ 07726
Phone (732) 358-6500

100 Brick Rd
Marlton, NJ 08053
Phone (856) 488-6832

150 River Rd
Ste J1
Montville, NJ 07045
Phone (973) 316-5757

239 Hurffville Crosskeys Rd
Ste 180
Sewell, NJ 08080
Phone (732) 261-1127

405 Hurffville Crosskeys Rd
Ste 210
Sewell, NJ 08080
Phone (856) 488-6832

330 South St
Township of Mendham, NJ 07960
Phone (973) 871-2020

328 Delsea Dr
Vineland, NJ 08360
Phone (856) 488-6832

328 Delsea Dr
Vineland, NJ 08360
Phone (856) 488-6832

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 394

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 394

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1356691885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077390188",
            "telephone_number": "732-264-1127",
            "fax_number": "732-264-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 SHREWSBURY AVENUE",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "07702",
            "telephone_number": "732-450-6000",
            "fax_number": "732-450-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHREWSBURY AMBULATORY ANESTHESIA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTIC AMBULATORY ANESTHESIA ASSOC.",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "KUTZIN",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "732-264-1127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA04931500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.