Active NPI
Kasica Professional Anesthesia and Pain Services, LLC
- Pain Medicine Physician
- Galloway, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 25MB06313500
- 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
- Last updated
- Feb 6, 2012
- 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
- Patricia Kasica, DO
- Title
- Ownder
- Phone
- (609) 748-0505
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25MB06313500 | NJ | |
| Pain Medicine Physician | 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 DirectoryLocations
72 W Jimmie Leeds Rd
Ste 2700
Galloway, NJ 08205
Phone (609) 748-0505
76 W Jimmie Leeds Rd
Ste 5
Galloway, NJ 08205
76 W Jimmie Leeds Rd
Ste 50
Galloway, NJ 08205
Phone (609) 748-0505
76 W Jimmie Leeds Rd
Ste 501
Galloway, NJ 08205
Phone (609) 404-9300
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pain Medicine Physician
- Galloway, NJ
- NPI 1417013905
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.