NPIMap

Organization Active NPI

Office Based Anesthesia LLC

  • Anesthesiology Physician
  • Smithtown, NY
National Provider Identifier
1407947617
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
OFFICE BASED ANESTHESIA LLC
Practice address
50 Route 25a
Smithtown, NY 11787-1348
Phone
(631) 862-3540
Fax
(631) 862-3604
NPI assigned
Sep 27, 2006
Last updated
Aug 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
Dr. Lance Turner, MDNPI 1790886414
Title
Treasurer
Phone
(631) 862-3538

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 NU Primary

Addresses

Primary practice location

50 Route 25a
Smithtown, NY 11787-1348

Mailing address

50 Route 25a
Employee Service BLDG
Smithtown, NY 11787
Phone (631) 862-3540

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040713000424 NY Part B Supplier - Clinic/Group Practice 2163400375 Receives reassigned benefits from 91 practitioners
Practice locations: Nesconset, NY; Port Jefferson, NY; Rego Park, NY; Riverhead, NY; Smithtown, NY; Farmingdale, NY; Hauppauge, NY; Garden City, NY…

National Provider Directory

National Provider Directory

Locations

975 Stewart Ave
Garden City, NY 11530
Phone (516) 222-8600

400 Townline Rd
Hauppauge, NY 11788
Phone (631) 360-0266

1575 Hillside Ave
Ste 100A
New Hyde Park, NY 11040
Phone (516) 326-7839

131 Merrick Rd
North Merrick, NY 11566
Phone (516) 223-1515

889 E Main St
Ste 308
Riverhead, NY 11901
Phone (631) 386-3500

373 Route 111
Smithtown, NY 11787
Phone (631) 265-2928

373 Route 111
Ste 7
Smithtown, NY 11787
Phone (631) 360-4000

48 Route 25A
Ste 101
Smithtown, NY 11787
Phone (631) 862-3413

Practitioners & affiliated clinicians

Practitioners 122

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 122

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1407947617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ROUTE 25A",
            "address_2": "EMPLOYEE SERVICE BLDG",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "11787",
            "telephone_number": "631-862-3540",
            "fax_number": "631-862-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ROUTE 25A",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871348",
            "telephone_number": "631-862-3540",
            "fax_number": "631-862-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFFICE BASED ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "631-862-3538",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.