Individual provider Active NPI

Jason Glenn Daras, DO

  • Anesthesiology Physician
  • Berkeley Heights, NJ
National Provider Identifier
1386811164
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MB08737600 Issued in NJ
Practice address
1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone
(908) 277-8872
Fax
(908) 673-7382
NPI assigned
May 12, 2008
Last updated
Jun 20, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Anesthesiology Physician 207L00000X 25MB08737600 NJ Primary

Addresses

Primary practice location

1 Diamond Hill Rd
Berkeley Heights, NJ 07922

Mailing address

Stony Brook University Hospital
Medical Staff Office T-14
Stony Brook, NY 11794-7148
Phone (631) 444-2754

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
I20100928001418 NJ Practitioner - Anesthesiology 0446376313 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkway Anesthesia Associates LLCGroup PAC ID 2567758931, 313 clinicians
Union Anesthesia Associates, PAGroup PAC ID 4082609003, 16 clinicians

Practice addresses (Care Compare)

495 Jack Martin Blvd
Suite 1
Brick, NJ 08724-7778
Phone (732) 836-9800

695 Chestnut St
Union, NJ 07083-7200
Phone (908) 851-6171

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB08737600NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Anesthesia Group, PA Anesthesiology CurrentSince Jul 1, 2010 Accepting new patients
Morris Anesthesia Group, PA CurrentSince Jul 1, 2010 Accepting new patients
Parkway Anesthesia Associates LLC Anesthesiology CurrentSince Aug 10, 2024 Accepting new patients
Union Anesthesia Associates, PA Anesthesiology CurrentSince Jan 1, 2020 Accepting new patients
Professional Pain Management P.C. Past Accepting new patients
Coastal Surgery Center, LLC Past Accepting new patients

Locations

495 Jack Martin Blvd
Ste 1
Brick, NJ 08724
Phone (732) 836-9800

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

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

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

695 Chestnut St
Union, NJ 07083
Phone (908) 688-6565

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1386811164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STONY BROOK UNIVERSITY HOSPITAL",
            "address_2": "MEDICAL STAFF OFFICE T-14",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117947148",
            "telephone_number": "631-444-2754",
            "fax_number": "631-444-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "07922",
            "telephone_number": "908-277-8872",
            "fax_number": "908-673-7382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARAS",
        "first_name": "JASON",
        "middle_name": "GLENN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-12",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MB08737600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley Heights, NJ

Sources for this page

Verify at the official NPI Registry.