Organization Active NPI

FRC Anesthesia Group, PLLC

  • Anesthesiology Physician
  • Brooklyn, NY
National Provider Identifier
1689746646
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
232855 Issued in NY
Legal business name
FRC ANESTHESIA GROUP, PLLC
Practice address
1829 E 13TH St
Suite 1a
Brooklyn, NY 11229-2807
Phone
(718) 627-8300
Fax
(718) 627-8302
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Aleksandr Rozenberg, M.D.NPI 1063406486
Title
Vice-President
Phone
(917) 697-7817

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 232855 NY Primary

Addresses

Primary practice location

1829 E 13TH St
Suite 1a
Brooklyn, NY 11229-2807

Mailing address

108 Burnham Ave
Roslyn Heights, NY 11577-1935
Phone (917) 697-7817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070201000482 NY Part B Supplier - Clinic/Group Practice 9638171812 Receives reassigned benefits from 3 practitioners
Practice locations: Brooklyn, NY; Staten Island, NY; Forest Hills, NY
O20220222001181 NJ Part B Supplier - Clinic/Group Practice 9638171812 Receives reassigned benefits from 3 practitioners
Practice locations: Metuchen, NJ

National Provider Directory

National Provider Directory

Locations

40 W Brighton Ave
Ste 104
Brooklyn, NY 11224
Phone (718) 627-8300

Practitioners & affiliated clinicians

Practitioners 3

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": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689746646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BURNHAM AVE",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771935",
            "telephone_number": "917-697-7817",
            "fax_number": "516-625-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 E 13TH ST",
            "address_2": "SUITE 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292807",
            "telephone_number": "718-627-8300",
            "fax_number": "718-627-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRC ANESTHESIA GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROZENBERG",
        "authorized_official_first_name": "ALEKSANDR",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "917-697-7817",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "232855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.