Active NPI
Anestat PC
- Specialist
- Bronx, NY
National Provider Identifier
1417661067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- ANESTAT PC
- Practice address
- 951 Brook Ave Ste 203
Bronx, NY 10451-4209 - Phone
- (855) 699-7246
- NPI assigned
- Jan 9, 2023
- 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
- Ms. Neesha N Mohammed
- Title
- Director of Operations
- Phone
- (201) 340-2199
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary | ||
| Anesthesiology Physician | 207L00000X |
Addresses
Primary practice location
951 Brook Ave Ste 203
Bronx, NY 10451-4209
Mailing address
185 Kingsland St
Nutley, NJ 07110-1119
Phone (973) 542-2739
Other practice location 1
16059 Rockaway Blvd
Jamaica, NY 11434-5133
Phone (855) 699-7246
National Provider Directory
National Provider DirectoryLocations
185 Kingsland St
Nutley, NJ 07110
Phone (973) 200-8224
951 Brook Ave
Ste 203
Bronx, NY 10451
Phone (718) 993-5893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681689600000",
"number": "1417661067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 KINGSLAND ST",
"city": "NUTLEY",
"state": "NJ",
"postal_code": "071101119",
"telephone_number": "973-542-2739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 BROOK AVE STE 203",
"city": "BRONX",
"state": "NY",
"postal_code": "104514209",
"telephone_number": "855-699-7246"
}
],
"practiceLocations": [
{
"address_1": "16059 Rockaway Blvd",
"address_purpose": "LOCATION",
"city": "Jamaica",
"state": "NY",
"postal_code": "114345133",
"country_code": "US",
"telephone_number": "855-699-7246",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ANESTAT PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-09",
"last_updated": "2023-04-17",
"certification_date": "2023-04-17",
"status": "A",
"authorized_official_last_name": "MOHAMMED",
"authorized_official_first_name": "NEESHA",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "201-340-2199",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.