Active NPI
Randy Steven Quesada, M.D.
- Anesthesiology Physician
- Bloomfield, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA11255900
- Practice address
- 1255 Broad St
Bloomfield, NJ 07003-3000 - Phone
- (973) 842-2150
- NPI assigned
- Apr 6, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25MA11255900 | NJ | Primary |
Addresses
Primary practice location
1255 Broad St
Bloomfield, NJ 07003-3000
Mailing address
1500 Harbor Blvd Apt 228
Weehawken, NJ 07086-5301
Phone (239) 677-6584
Other practice location 1
1 Clara Maass Dr
Belleville, NJ 07109-3550
Phone (973) 450-2000
Other practice location 2
300 2nd Ave
Long Branch, NJ 07740-6303
Phone (732) 222-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211101002026 | NJ | Practitioner - Anesthesiology | 2264820836 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Olena Medical New Jersey LLC
Practice addresses (Care Compare)
631 Grand St
Jersey City, NJ 07304-3451
Phone (718) 255-6391
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omnj Division Three LLC | Anesthesiology | Current | Accepting new patients |
| North American Partners in Anesthesia of New Jersey LLC | Anesthesiology | Current | Accepting new patients |
| Olena Medical New Jersey LLC | Anesthesiology | Current | Accepting new patients |
Locations
1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008
1255 Broad St
Ste 200
Bloomfield, NJ 07003
Phone (646) 740-8302
143 Anderson Ave
Fairview, NJ 07022
Phone (201) 402-7802
191 Palisade Ave
Jersey City, NJ 07306
Phone (201) 656-4324
631 Grand St
Jersey City, NJ 07304
Phone (201) 830-2280
360 Route 70
Lakewood, NJ 08701
Phone (732) 367-3050
300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
1700 Whitehorse Hamilton Square Rd
Ste A1
Trenton, NJ 08690
Phone (215) 781-2020
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Fairview, NJ
- NPI 1386180461
Anesthesiology, NJ
-
- Anesthesiology Physician
- Brick, NJ
- NPI 1548433048
Anesthesiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686787200000",
"number": "1578096459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 HARBOR BLVD APT 228",
"city": "WEEHAWKEN",
"state": "NJ",
"postal_code": "070865301",
"telephone_number": "239-677-6584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 BROAD ST",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070033000",
"telephone_number": "973-842-2150"
}
],
"practiceLocations": [
{
"address_1": "1 Clara Maass Dr",
"address_purpose": "LOCATION",
"city": "Belleville",
"state": "NJ",
"postal_code": "071093550",
"country_code": "US",
"telephone_number": "973-450-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 2nd Ave",
"address_purpose": "LOCATION",
"city": "Long Branch",
"state": "NJ",
"postal_code": "077406303",
"country_code": "US",
"telephone_number": "732-222-5200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUESADA",
"first_name": "RANDY",
"middle_name": "STEVEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-06",
"last_updated": "2023-06-15",
"certification_date": "2023-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA11255900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.