NPIMap

Organization Active NPI

Anesthesia Advantage of Delaware, P.a.

  • Anesthesiology Physician
  • Lewes, DE
National Provider Identifier
1740370147
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ANESTHESIA ADVANTAGE OF DELAWARE, P.A.
Practice address
17015 Old Orchard Rd Ste 4
Lewes, DE 19958-4849
Phone
(215) 860-4110
Fax
(215) 860-2093
NPI assigned
Oct 14, 2006
Last updated
Aug 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Authorized official

Name
Dr. John G Carestia, MDNPI 1326138967
Title
President
Phone
(215) 860-4110

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X

Addresses

Primary practice location

17015 Old Orchard Rd Ste 4
Lewes, DE 19958-4849

Mailing address

12 Newburyport Rd
Langhorne, PA 19053-1556
Phone (215) 860-4110

Other practice location 1

12 Newburyport Rd
Langhorne, PA 19053-1556
Phone (215) 860-4110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070226000199 DE Part B Supplier - Clinic/Group Practice 4385684513 Receives reassigned benefits from 11 practitioners
Practice locations: Lewes, DE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 84

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 84

NPI Registry JSON

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1740370147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 NEWBURYPORT RD",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190531556",
            "telephone_number": "215-860-4110",
            "fax_number": "267-295-8208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17015 OLD ORCHARD RD STE 4",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584849",
            "telephone_number": "215-860-4110",
            "fax_number": "215-860-2093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Newburyport Rd",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190531556",
            "country_code": "US",
            "telephone_number": "215-860-4110",
            "fax_number": "267-295-8208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANESTHESIA ADVANTAGE OF DELAWARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-14",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "CARESTIA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-860-4110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.