Active NPI
Kasica Professional Anesthesia and Pain Services, LLC
- Pain Medicine Physician
- Galloway, NJ
National Provider Identifier
1619246014
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
- 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
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
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.