Active NPI
Anesthesia Care Associates, PLLC
- Anesthesiology Physician
- Port Jefferson, NY
National Provider Identifier
1609369198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- ANESTHESIA CARE ASSOCIATES, PLLC
- Practice address
- 75 N Country Rd
Port Jefferson, NY 11777-2119 - Phone
- (631) 473-1320
- NPI assigned
- Jun 11, 2018
- Last updated
- Jun 11, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Von Lintig
- Title
- Chief Operational Officer
- Phone
- (631) 503-1400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
75 N Country Rd
Port Jefferson, NY 11777-2119
Mailing address
333 Route 25a Ste 225
Rocky Point, NY 11778-8802
Other practice location 1
1300 Roanoke Ave
Riverhead, NY 11901-2031
Phone (631) 548-6000
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528675200000",
"number": "1609369198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 ROUTE 25A STE 225",
"city": "ROCKY POINT",
"state": "NY",
"postal_code": "117788802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 N COUNTRY RD",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117772119",
"telephone_number": "631-473-1320"
}
],
"practiceLocations": [
{
"address_1": "1300 Roanoke Ave",
"address_purpose": "LOCATION",
"city": "Riverhead",
"state": "NY",
"postal_code": "119012031",
"country_code": "US",
"telephone_number": "631-548-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ANESTHESIA CARE ASSOCIATES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-11",
"last_updated": "2018-06-11",
"status": "A",
"authorized_official_last_name": "VON LINTIG",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CHIEF OPERATIONAL OFFICER",
"authorized_official_telephone_number": "631-503-1400"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Jefferson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.