Organization Active NPI

East Shore Anesthesia PC

  • Anesthesiology Physician
  • Lindenhurst, NY
National Provider Identifier
1598775645
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
213176 Issued in NY
Legal business name
EAST SHORE ANESTHESIA PC
Practice address
910 Route 109
Lindenhurst, NY 11757-1158
Phone
(631) 546-5081
NPI assigned
Aug 9, 2006
Last updated
Apr 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Authorized official

Name
Anil Patil, MDNPI 1740286111
Title
President
Phone
(631) 546-5081

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 213176 NY Primary

Addresses

Primary practice location

910 Route 109
Lindenhurst, NY 11757-1158

Mailing address

118 Bagatelle Rd
Melville, NY 11747-4143
Phone (631) 546-5081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070216000516 NY Part B Supplier - Clinic/Group Practice 1355443698 Receives reassigned benefits from 4 practitioners
Practice locations: Selden, NY; Melville, NY; Massapequa, NY; Farmingdale, NY

National Provider Directory

National Provider Directory

Locations

307 E Shore Rd
Great Neck, NY 11023
Phone (516) 358-7210

946 Little East Neck Rd
West Babylon, NY 11704
Phone (631) 422-0852

Practitioners & affiliated clinicians

Practitioners 6

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": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1598775645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 BAGATELLE RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474143",
            "telephone_number": "631-546-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 ROUTE 109",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117571158",
            "telephone_number": "631-546-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SHORE ANESTHESIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "PATIL",
        "authorized_official_first_name": "ANIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-546-5081",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "213176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindenhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.