Organization Active NPI

Ambulatory Anesthesia Services, P.a.

  • Pain Medicine (Anesthesiology) Physician
  • Wayne, NJ
National Provider Identifier
1518952902
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
7391803MedicaidNJ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.