Organization Active NPI

Elite Anesthesia, LLC

  • Legal Medicine
  • Lyndhurst, NJ
National Provider Identifier
1568601532
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
ELITE ANESTHESIA, LLC
Practice address
1050 Wall St W
Lyndhurst, NJ 07071-3621
Phone
(201) 635-1003
NPI assigned
Feb 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2009

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

Authorized official

Name
Dr. Stephen Winikoff
Title
President
Phone
(201) 635-1003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X NJ Primary

Addresses

Primary practice location

1050 Wall St W
Lyndhurst, NJ 07071-3621

Mailing address

1050 Wall St W
Lyndhurst, NJ 07071-3621
Phone (201) 635-1003

National Provider Directory

National Provider Directory

Locations

1050 Wall St W
Lyndhurst, NJ 07071
Phone (201) 635-1003

NPI Registry JSON

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1568601532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 WALL ST W",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070713621",
            "telephone_number": "201-635-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 WALL ST W",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070713621",
            "telephone_number": "201-635-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "WINIKOFF",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-635-1003",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.