Active NPI
GMS Anesthesia Associates, P.C.
- Contractor
- Hackensack, NJ
National Provider Identifier
1417075060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Legal business name
- GMS ANESTHESIA ASSOCIATES, P.C.
- Practice address
- 100 Prospect Ave
#4F
Hackensack, NJ 07601-1910 - Phone
- (201) 487-8557
- Fax
- (201) 487-6414
- NPI assigned
- Mar 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Prof. Kathy V Podesta
- Title
- Office Manager
- Phone
- (201) 487-8557
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Primary |
Addresses
Primary practice location
100 Prospect Ave
#4F
Hackensack, NJ 07601-1910
Mailing address
PO Box 1944
South Hackensack, NJ 07606-0544
Phone (201) 487-8557
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0148504 | Medicaid | NJ | |
| 8468206 | Medicaid | NJ | |
| 5658004 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
10561 Barkley St
Ste 300
Overland Park, KS 66212
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Hackensack, NJ
- NPI 1750455978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1417075060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1944",
"city": "SOUTH HACKENSACK",
"state": "NJ",
"postal_code": "076060544",
"telephone_number": "201-487-8557",
"fax_number": "201-487-6414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PROSPECT AVE",
"address_2": "#4F",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011910",
"telephone_number": "201-487-8557",
"fax_number": "201-487-6414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GMS ANESTHESIA ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PODESTA",
"authorized_official_first_name": "KATHY",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "201-487-8557",
"authorized_official_name_prefix": "Prof."
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0148504",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8468206",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5658004",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.