Jersey Anesthesia & Pain Management Consultants, LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

25MA06926200 Issued in NJ

Legal business name

JERSEY ANESTHESIA & PAIN MANAGEMENT CONSULTANTS, LLC

Practice address

940 Amboy Ave
Suite 104-a
Edison, NJ 08837-2869

Phone

(732) 738-3963

Fax

(732) 738-3965

NPI assigned

Jan 12, 2009

Last updated

Jan 12, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alexander Klyashtorny, M.D.NPI 1417996836

Title

Owner

Phone

(732) 738-3963

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Alexander Klyashtorny, M.D.

  • Anesthesiology Physician
  • Summit, NJ
  • NPI 1417996836
  Authorized official Same address or phone

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1669619706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 AMBOY AVE",
            "address_2": "SUITE 104-A",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372869",
            "telephone_number": "732-738-3963",
            "fax_number": "732-738-3965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 AMBOY AVE",
            "address_2": "SUITE 104-A",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372869",
            "telephone_number": "732-738-3963",
            "fax_number": "732-738-3965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY ANESTHESIA & PAIN MANAGEMENT CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "KLYASHTORNY",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-738-3963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA06926200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sueann Jensen
• Luis Jeon, RN
• Jana'E Alese Jernigan, MS
• Jerrold & Press, M.D., P.a. (Edison Eye Group)
• Jersey Advanced MRI & Diagnostic Center of Edison
• Jersey Care Rides
• Jersey Central Physical Therapy
• Jersey Pharmacy LLC (Jersey Pharmacy)
• Jersey Shore Neurology PC
• Adisak Jesdanun, MD

• Pain Medicine (Anesthesiology) Physician in Edison, NJ
• Providers in Edison, NJ by specialty
• Pain Medicine (Anesthesiology) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.