NPIMap

Organization Active NPI

Progressive Hudson Anesthesia, LLC

  • Anesthesiology Physician
  • Saddle Brook, NJ
National Provider Identifier
1477887446
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
PROGRESSIVE HUDSON ANESTHESIA, LLC
Practice address
444 Market St
Saddle Brook, NJ 07663-5996
Phone
(201) 945-2481
Fax
(201) 943-8105
NPI assigned
Sep 24, 2009
Last updated
Mar 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

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

Authorized official

Name
Sen-Pin Kao, MDNPI 1366418782
Title
President
Phone
(201) 945-2481

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

444 Market St
Saddle Brook, NJ 07663-5996

Mailing address

PO Box 1658
Hoboken, NJ 07030-1658
Phone (201) 945-2481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140509000223 NJ Part B Supplier - Clinic/Group Practice 2769615103 Receives reassigned benefits from 11 practitioners
Practice locations: Livingston, NJ; Saddle Brook, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1477887446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1658",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070301658",
            "telephone_number": "201-945-2481",
            "fax_number": "201-943-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 MARKET ST",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635996",
            "telephone_number": "201-945-2481",
            "fax_number": "201-943-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE HUDSON ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "KAO",
        "authorized_official_first_name": "SEN-PIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-945-2481",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saddle Brook, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.

Verify at the official NPI Registry.