Active NPI
Holy Name Anesthesia Partners
- Anesthesiology Physician
- Teaneck, NJ
National Provider Identifier
1457907461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- HOLY NAME ANESTHESIA PARTNERS
- Practice address
- 718 Teaneck Road
Teaneck, NJ 07666-4245 - Phone
- (201) 833-2300
- Fax
- (201) 833-7600
- NPI assigned
- Aug 15, 2019
- 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
- Patricia Beniquez Pacheco
- Title
- Credentialing Supervisor
- Phone
- (201) 833-3599
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
718 Teaneck Road
Teaneck, NJ 07666-4245
Mailing address
3 University PLZ Ste 205
Hackensack, NJ 07601-6208
Phone (201) 833-3599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191010000939 | NJ | Part B Supplier - Clinic/Group Practice | 6204167976 |
Receives reassigned benefits from 46 practitioners Practice locations: Teaneck, NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 47
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715126400000",
"number": "1457907461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 UNIVERSITY PLZ STE 205",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076016208",
"telephone_number": "201-833-3599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 TEANECK ROAD",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076664245",
"telephone_number": "201-833-2300",
"fax_number": "201-833-7600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLY NAME ANESTHESIA PARTNERS",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-15",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A",
"authorized_official_last_name": "BENIQUEZ PACHECO",
"authorized_official_first_name": "PATRICIA",
"authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
"authorized_official_telephone_number": "201-833-3599"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.