Organization Active NPI

Dov Phil Anesthesiology Group, PLLC

  • Anesthesiology Physician
  • Brooklyn, NY
National Provider Identifier
1447457049
Registry record updated May 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
DOV PHIL ANESTHESIOLOGY GROUP, PLLC
Practice address
1575 E 19TH St
Brooklyn, NY 11230-7203
Phone
(718) 236-1056
NPI assigned
Jun 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2009

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

Authorized official

Name
Miss Liza Chobrutskaya
Title
Billing Manager
Phone
(718) 236-1056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

1575 E 19TH St
Brooklyn, NY 11230-7203

Mailing address

PO Box 603
Saddle River, NJ 07458-0603

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1447457049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603",
            "city": "SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074580603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 E 19TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307203",
            "telephone_number": "718-236-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOV PHIL ANESTHESIOLOGY GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "CHOBRUTSKAYA",
        "authorized_official_first_name": "LIZA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "718-236-1056",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.