NPIMap

Organization Active NPI

Bayonne Anesthesia Associates, LLC

  • Anesthesiology Physician
  • Bayonne, NJ
National Provider Identifier
1568576262
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
BAYONNE ANESTHESIA ASSOCIATES, LLC
Practice address
138 W 56TH St
Bayonne, NJ 07002-9200
Phone
(201) 487-7227
NPI assigned
Aug 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Jordan Fersel, M.D.NPI 1881685519
Title
President
Phone
(201) 487-7227

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

138 W 56TH St
Bayonne, NJ 07002-9200

Mailing address

138 W 56TH St
Bayonne, NJ 07002-9200
Phone (201) 487-7227

Other identifiers 1

IdentifierTypeStateIssuer
0027537MedicaidNJ

National Provider Directory

National Provider Directory

Locations

13 W 8th St
Bayonne, NJ 07002
Phone (201) 243-1031

1117 US Highway 46
Ste 303
Clifton, NJ 07013
Phone (201) 923-1078

1450 US Highway 22
Mountainside, NJ 07092
Phone (908) 228-5975

24 Merchant St
Newark, NJ 07105
Phone (973) 344-4787

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568576262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 W 56TH ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070029200",
            "telephone_number": "201-487-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 W 56TH ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070029200",
            "telephone_number": "201-487-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYONNE ANESTHESIA ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERSEL",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-487-7227",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0027537",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, 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.