NPIMap

Organization Active NPI

New Jersey Anesthesia Group, P.a.

  • Pain Medicine (Anesthesiology) Physician
  • Paterson, NJ
National Provider Identifier
1669467049
Registry record updated Jan 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
NEW JERSEY ANESTHESIA GROUP, P.A.
Practice address
703 Main St
Paterson, NJ 07503-2621
Phone
(973) 754-2323
NPI assigned
Sep 13, 2005
Last updated
Jan 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2009

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

Authorized official

Name
Bridget Champino
Title
Office Manager
Phone
(201) 635-1003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X NJ Primary

Addresses

Primary practice location

703 Main St
Paterson, NJ 07503-2621

Mailing address

PO Box 1593
Secaucus, NJ 07096-1593
Phone (201) 635-1003

Other identifiers 1

IdentifierTypeStateIssuer
3379205MedicaidNJ

National Provider Directory

National Provider Directory

Locations

925 Clifton Ave
Clifton, NJ 07013
Phone (908) 722-9556

300 Harmon Meadow Blvd
Secaucus, NJ 07094
Phone (908) 864-7600

Practitioners & affiliated clinicians

Practitioners 39

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 39

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232928000000",
    "number": "1669467049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1593",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070961593",
            "telephone_number": "201-635-1003",
            "fax_number": "201-635-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032621",
            "telephone_number": "973-754-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY ANESTHESIA GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2009-01-26",
        "status": "A",
        "authorized_official_last_name": "CHAMPINO",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "201-635-1003"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3379205",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.

Verify at the official NPI Registry.