Big Tree Anesthesia LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25MA08519500 Issued in NJ

Legal business name

BIG TREE ANESTHESIA LLC

Practice address

516 Hamburg Tpke
Ste 2
Wayne, NJ 07470-2062

Phone

(646) 620-6415

Fax

(949) 863-6532

NPI assigned

Apr 2, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Amit Goswami, MD

Title

President

Phone

(646) 620-6415

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1491091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491091200000",
    "number": "1679005284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1779",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070248279",
            "telephone_number": "646-620-6415",
            "fax_number": "949-863-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 HAMBURG TPKE",
            "address_2": "STE 2",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702062",
            "telephone_number": "646-620-6415",
            "fax_number": "949-863-6532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG TREE ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-02",
        "last_updated": "2017-04-02",
        "status": "A",
        "authorized_official_last_name": "GOSWAMI",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-620-6415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA08519500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Wayne, NJ
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2017; 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.