Active NPI
Big Tree Anesthesia LLC
- Anesthesiology Physician
- Wayne, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA08519500
- 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
- Last updated
- Apr 2, 2017
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25MA08519500 | NJ | Primary |
Addresses
Primary practice location
516 Hamburg Tpke
Ste 2
Wayne, NJ 07470-2062
Mailing address
PO Box 1779
Fort Lee, NJ 07024-8279
Phone (646) 620-6415
National Provider Directory
National Provider DirectoryLocations
516 Hamburg Tpke
Ste 2
Wayne, NJ 07470
Phone (646) 620-6415
Practitioners & affiliated clinicians
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.
-
- Pain Medicine (Anesthesiology) Physician
- Paramus, NJ
- NPI 1972605137
NPI Registry JSON
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": []
}
Other providers in Wayne, NJ
Sources for this page
- 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.