Teimouraz Vassilidze, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25MA06904200 Issued in NJ

Practice address

225 Williamson Street
Elizabeth, NJ 07202

Phone

(908) 994-5204

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bayonne Anesthesia Associates, LLC

  • Anesthesiology Physician
  • Bayonne, NJ
  • NPI 1568576262
  NPD (past)
• Broadway Anesthesia Providers, LLC

  • Anesthesiology Physician
  • Paterson, NJ
  • NPI 1093046179
  NPD (past)
• Rancocas Anesthesiology, P.a.

  • Specialist
  • Mount Laurel, NJ
  • NPI 1427076553
  NPD (past)
• Western Pennsylvania Anesthesia Associates, LTD.

  • Pain Medicine (Anesthesiology) Physician
  • Pittsburgh, PA
  • NPI 1386639847
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1649299553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SHERWOOD DR",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 WILLIAMSON STREET",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "07202",
            "telephone_number": "908-994-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASSILIDZE",
        "first_name": "TEIMOURAZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "291354",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA06904200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7966806",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• University Medical Professionals LLC
• University Radiology at Trinitas, LLC
• Urban League of Union County, Inc.
• Edgardo C Vallejo, M.D.
• Raul Emilio Vasquez Duran, MD
• Yeimi Vazquez, MS
• Jessica Velasquez-Julca
• Velixo DME
• Vencer Care Pharmacy LLC
• Lourdes Veras, LSW

• Anesthesiology Physician in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.