Organization Active NPI

Medical Anesthesiology PC

  • Anesthesiology Physician
  • East Williston, NY
National Provider Identifier
1649967415
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MEDICAL ANESTHESIOLOGY PC
Practice address
3 Meritoria Dr
East Williston, NY 11596-2037
Phone
(631) 220-3994
Fax
(516) 307-3396
NPI assigned
Apr 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Authorized official

Name
Ms. Angela I Garcia, CPC
Title
Coder
Phone
(631) 220-3994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

3 Meritoria Dr
East Williston, NY 11596-2037

Mailing address

PO Box 220059
Great Neck, NY 11022-0059
Phone (631) 220-3994

Other names 1

  • Self Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1649967415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220059",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110220059",
            "telephone_number": "631-220-3994",
            "fax_number": "516-307-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MERITORIA DR",
            "city": "EAST WILLISTON",
            "state": "NY",
            "postal_code": "115962037",
            "telephone_number": "631-220-3994",
            "fax_number": "516-307-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ANESTHESIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CODER",
        "authorized_official_telephone_number": "631-220-3994",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Self",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Self",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in East Williston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.