Active NPI
Resource Anesthesiology Associates of NJ, LLC
- Anesthesiology Physician
- Bayonne, NJ
National Provider Identifier
1629210232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- RESOURCE ANESTHESIOLOGY ASSOCIATES OF NJ, LLC
- Practice address
- 29 E 29TH St
Bayonne, NJ 07002-4654 - Phone
- (201) 858-5000
- NPI assigned
- Mar 27, 2009
- 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
- Dr. Marc E. Koch, M.D.
- Title
- President & Ceo
- Phone
- (914) 637-3511
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
29 E 29TH St
Bayonne, NJ 07002-4654
Mailing address
10 Commerce Dr
New Rochelle, NY 10801-5214
Phone (914) 637-3510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8434204 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Harrison, NY
- NPI 1629069497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248393600000",
"number": "1629210232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 COMMERCE DR",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108015214",
"telephone_number": "914-637-3510",
"fax_number": "914-633-3287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 E 29TH ST",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070024654",
"telephone_number": "201-858-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESOURCE ANESTHESIOLOGY ASSOCIATES OF NJ, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-27",
"last_updated": "2009-07-24",
"status": "A",
"authorized_official_last_name": "KOCH",
"authorized_official_first_name": "MARC",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "914-637-3511",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8434204",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bayonne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.