Tristate Anesthesiologists LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25MA09282300 Issued in NJ

Legal business name

TRISTATE ANESTHESIOLOGISTS LLC

Practice address

63 Lacey Rd
Suite C
Whiting, NJ 08759-2966

Phone

(862) 686-1327

NPI assigned

Feb 8, 2017

Organization subpart

No

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

Authorized official

Name

Rajat Sekhar

Title

Ceo

Phone

(646) 975-1174

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1508304742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 GUN CLUB RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069031024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 LACEY RD",
            "address_2": "SUITE C",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087592966",
            "telephone_number": "862-686-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE ANESTHESIOLOGISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "SEKHAR",
        "authorized_official_first_name": "RAJAT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-975-1174"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA09282300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.