Organization Active NPI

Innovative Anesthesia Solutions, P.C.

  • Anesthesiology Physician
  • Great Neck, NY
National Provider Identifier
1568649150
Registry record updated Aug 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
160215 Issued in NY
Legal business name
INNOVATIVE ANESTHESIA SOLUTIONS, P.C.
Practice address
65A Beverly Rd
Great Neck, NY 11021-1616
Phone
(516) 570-2306
Fax
(516) 570-2306
NPI assigned
Jan 25, 2008
Last updated
Aug 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2015

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

Authorized official

Name
Dr. Ricky Zegelstein, M.D.NPI 1043385933
Title
President
Phone
(917) 822-4074

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 160215 NY Primary

Addresses

Primary practice location

65A Beverly Rd
Great Neck, NY 11021-1616

Mailing address

65A Beverly Rd
Great Neck, NY 11021-1616
Phone (516) 570-2306

National Provider Directory

National Provider Directory

Locations

215 Lexington Ave
New York, NY 10016
Phone (212) 263-4728

Practitioners & affiliated clinicians

Practitioners 4

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": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440720000000",
    "number": "1568649150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65A BEVERLY RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211616",
            "telephone_number": "516-570-2306",
            "fax_number": "516-487-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65A BEVERLY RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211616",
            "telephone_number": "516-570-2306",
            "fax_number": "516-570-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE ANESTHESIA SOLUTIONS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2015-08-28",
        "status": "A",
        "authorized_official_last_name": "ZEGELSTEIN",
        "authorized_official_first_name": "RICKY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-822-4074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "160215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; 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.