Organization Active NPI

Riverside Anesthesia

  • Specialist
  • Stony Brook, NY
National Provider Identifier
1447433958
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
RIVERSIDE ANESTHESIA
Practice address
2500 Rte 347
BLDG 24C
Stony Brook, NY 11790-2555
Phone
(212) 877-3778
NPI assigned
Dec 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
Dr. Marc Joseph Yland, M.D.
Title
Ceo
Phone
(212) 877-3778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2500 Rte 347
BLDG 24C
Stony Brook, NY 11790-2555

Mailing address

263 W End Ave
Ste 22B
New York, NY 10023-2612
Phone (212) 877-3778

National Provider Directory

National Provider Directory

Locations

2500 Nesconset Hwy
Bldg 24C
Stony Brook, NY 11790
Phone (631) 521-5835

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1447433958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 W END AVE",
            "address_2": "STE 22B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232612",
            "telephone_number": "212-877-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 RTE 347",
            "address_2": "BLDG 24C",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902555",
            "telephone_number": "212-877-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "YLAND",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "212-877-3778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.