Active NPI
Ambulatory Anesthesia Services, P.a.
- Pain Medicine (Anesthesiology) Physician
- Wayne, NJ
National Provider Identifier
1518952902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- AMBULATORY ANESTHESIA SERVICES, P.A.
- Practice address
- 1825 Rte 23
Wayne, NJ 07470-7510 - Phone
- (973) 633-1484
- NPI assigned
- Sep 13, 2005
- 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
- Bridget Champino
- Title
- Office Manager
- Phone
- (201) 635-1003
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | NJ | Primary |
Addresses
Primary practice location
1825 Rte 23
Wayne, NJ 07470-7510
Mailing address
PO Box 1593
Secaucus, NJ 07096-1593
Phone (201) 635-1003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7391803 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
4-14 Saddle River Rd
Fair Lawn, NJ 07410
Phone (201) 791-4002
1825 State Route 23
Wayne, NJ 07470
Phone (973) 633-1480
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Paterson, NJ
- NPI 1255338224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1518952902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1593",
"city": "SECAUCUS",
"state": "NJ",
"postal_code": "070961593",
"telephone_number": "201-635-1003",
"fax_number": "201-635-1332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 RTE 23",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074707510",
"telephone_number": "973-633-1484"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMBULATORY ANESTHESIA SERVICES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CHAMPINO",
"authorized_official_first_name": "BRIDGET",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "201-635-1003"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7391803",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.