Organization Active NPI

Visionary Anesthesia, LLC

  • Anesthesiology Physician
  • Secaucus, NJ
National Provider Identifier
1568280709
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
VISIONARY ANESTHESIA, LLC
Practice address
210 Meadowlands Pkwy Ste 5
Secaucus, NJ 07094-2306
Phone
(888) 787-4379
Fax
(877) 821-8847
NPI assigned
Sep 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Mr. Evan Charles Hammerman
Title
General Counsel
Phone
(240) 833-3620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

210 Meadowlands Pkwy Ste 5
Secaucus, NJ 07094-2306

Mailing address

3206 Tower Oaks Blvd Ste 220
Rockville, MD 20852-4254
Phone (240) 833-3620

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1568280709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 TOWER OAKS BLVD STE 220",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524254",
            "telephone_number": "240-833-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MEADOWLANDS PKWY STE 5",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942306",
            "telephone_number": "888-787-4379",
            "fax_number": "877-821-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-27",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "HAMMERMAN",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "240-833-3620",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Secaucus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.