Organization Active NPI

Kasica Professional Anesthesia and Pain Services, LLC

  • Pain Medicine Physician
  • Galloway, NJ
National Provider Identifier
1619246014
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
25MB06313500 Issued in NJ
Legal business name
KASICA PROFESSIONAL ANESTHESIA AND PAIN SERVICES, LLC
Practice address
76 W Jim Leeds Rd
Park Center, Suite 501
Galloway, NJ 08205-9411
Phone
(609) 748-0505
Fax
(609) 748-0515
NPI assigned
Dec 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Authorized official

Name
Patricia Kasica, DO
Title
Ownder
Phone
(609) 748-0505

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X 25MB06313500 NJ
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X 25MB06313500 NJ Primary

Addresses

Primary practice location

76 W Jim Leeds Rd
Park Center, Suite 501
Galloway, NJ 08205-9411

Mailing address

76 W Jim Leeds Rd
Park Center, Suite 501
Galloway, NJ 08205-9411
Phone (609) 748-0505

National Provider Directory

National Provider Directory

Locations

76 W Jimmie Leeds Rd
Ste 5
Galloway, NJ 08205

72 W Jimmie Leeds Rd
Ste 2700
Galloway, NJ 08205
Phone (609) 748-0505

76 W Jimmie Leeds Rd
Ste 50
Galloway, NJ 08205
Phone (609) 748-0505

NPI Registry JSON

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1619246014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 W JIM LEEDS RD",
            "address_2": "PARK CENTER, SUITE 501",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059411",
            "telephone_number": "609-748-0505",
            "fax_number": "609-748-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 W JIM LEEDS RD",
            "address_2": "PARK CENTER, SUITE 501",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059411",
            "telephone_number": "609-748-0505",
            "fax_number": "609-748-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASICA PROFESSIONAL ANESTHESIA AND PAIN SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-14",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "KASICA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNDER",
        "authorized_official_telephone_number": "609-748-0505",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MB06313500",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NJ",
            "license": "25MB06313500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; 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.