NPIMap

Organization Active NPI

West Orange ASC LLC

  • Certified Registered Nurse Anesthetist
  • West Orange, NJ
National Provider Identifier
1629660972
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
WEST ORANGE ASC LLC
Practice address
101 Old Short Hills Rd Ste 300
West Orange, NJ 07052-1023
Phone
(973) 322-6200
Fax
(973) 322-6633
NPI assigned
Feb 8, 2021
Organization subpart
Yes
Parent organization
WEST ORANGE ASC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Authorized official

Name
Alina Logan
Title
Vice President
Phone
(615) 240-3740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

101 Old Short Hills Rd Ste 300
West Orange, NJ 07052-1023

Mailing address

101 Old Short Hills Rd Ste 300
West Orange, NJ 07052-1023
Phone (973) 322-6200

Other names 1

  • West Orange NJ Anesthesia Doing business as

National Provider Directory

National Provider Directory
Tax ID family
West Orange ASC LLC2 organizations share this tax ID, including this one
Part of
West Orange ASC LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1629660972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 OLD SHORT HILLS RD STE 300",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521023",
            "telephone_number": "973-322-6200",
            "fax_number": "973-322-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OLD SHORT HILLS RD STE 300",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521023",
            "telephone_number": "973-322-6200",
            "fax_number": "973-322-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ORANGE ASC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST ORANGE ASC LLC",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "ALINA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-240-3740"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Orange NJ Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.