Anthem Pain LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25MA06866400 Issued in NJ

Legal business name

ANTHEM PAIN LLC

Practice address

1 Yale CT
Livingston, NJ 07039-1519

Phone

(973) 941-2961

NPI assigned

Dec 16, 2016

Last updated

Dec 16, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shanti Eppanapally, MD

Title

Ceo

Phone

(973) 941-2961

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481846400000",
    "number": "1376087833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4224",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070128224",
            "telephone_number": "973-941-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 YALE CT",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391519",
            "telephone_number": "973-941-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHEM PAIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-16",
        "last_updated": "2016-12-16",
        "status": "A",
        "authorized_official_last_name": "EPPANAPALLY",
        "authorized_official_first_name": "SHANTI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-941-2961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA06866400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC",
            "identifier": "25MA06866400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Greenberg PSYD Clinical Psychologist LLC (Living Well Psychological Associates)
• Frances Anerousis, M.D.
• Marydee Anerousis, D.D.S.
• Emma Anonuevo, APN
• Sana Ansari, M.D
• Anthony C. Quartell, MD & Associates
• John Anton, M.D.
• John Antonczak
• Patrick T Antonelli, ED.D.
• Emmanuel O Anyanwu, APN

• Anesthesiology Physician in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.