NPIMap

Organization Active NPI

Anesthesia Advantage PC

  • Anesthesiology Physician
  • Southampton, PA
National Provider Identifier
1649360041
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ANESTHESIA ADVANTAGE PC
Practice address
319 Second Street Pike
Southampton, PA 18966-3812
Phone
(215) 860-4110
Fax
(267) 295-8208
NPI assigned
Oct 14, 2006
Last updated
Aug 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Authorized official

Name
Dr. John G Carestia, MDNPI 1326138967
Title
Medical Director
Phone
(267) 566-1914

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

319 Second Street Pike
Southampton, PA 18966-3812

Mailing address

12 Newburyport Rd
Upper Holland, PA 19053-1556
Phone (215) 860-4110

Other practice location 1

570 Egg Harbor Rd Ste A2
Sewell, NJ 08080-2359
Phone (856) 218-1440

Other identifiers 1

IdentifierTypeStateIssuer
100747910MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.anesthesiaadvantage.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ, DE3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040106000204 PA Part B Supplier - Clinic/Group Practice 9335048693 Receives reassigned benefits from 26 practitioners
Practice locations: Exton, PA; Langhorne, PA; Southampton, PA
O20180827000150 NJ Part B Supplier - Clinic/Group Practice 9335048693 Receives reassigned benefits from 8 practitioners
Practice locations: Sewell, NJ
O20241125002909 DE Part B Supplier - Clinic/Group Practice 9335048693 Receives reassigned benefits from 8 practitioners
Practice locations: Lewes, DE

National Provider Directory

National Provider Directory

Locations

9122 Blue Grass Rd
Philadelphia, PA 19114
Phone (215) 673-9231

Practitioners & affiliated clinicians

Practitioners 62

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.

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1649360041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 NEWBURYPORT RD",
            "city": "UPPER HOLLAND",
            "state": "PA",
            "postal_code": "190531556",
            "telephone_number": "215-860-4110",
            "fax_number": "267-295-8208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 SECOND STREET PIKE",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663812",
            "telephone_number": "215-860-4110",
            "fax_number": "267-295-8208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "570 Egg Harbor Rd Ste A2",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080802359",
            "country_code": "US",
            "telephone_number": "856-218-1440",
            "fax_number": "856-218-0193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANESTHESIA ADVANTAGE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-14",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "CARESTIA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "267-566-1914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100747910",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.anesthesiaadvantage.com",
            "affiliation": "N",
            "address_1": "12 Newburyport Rd",
            "city": "Upper Holland",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190531556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southampton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.