Organization Active NPI

United Anesthesia Physicians, LLC

  • Anesthesiology Physician
  • Livingston, NJ
National Provider Identifier
1750735536
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
UNITED ANESTHESIA PHYSICIANS, LLC
Practice address
1 Ely CT
Livingston, NJ 07039-2039
Phone
(718) 255-6391
Fax
(718) 255-6392
NPI assigned
Apr 19, 2016
Last updated
Apr 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Authorized official

Name
Miah Nusrat
Title
Billing Manager
Phone
(718) 255-6391

Specialties & licenses 1

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

Addresses

Primary practice location

1 Ely CT
Livingston, NJ 07039-2039

Mailing address

1 Ely CT
Livingston, NJ 07039-2039
Phone (718) 255-6391

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160825000361 NJ Part B Supplier - Clinic/Group Practice 3971894189 Receives reassigned benefits from 4 practitioners
Practice locations: Bloomfield, NJ; Newton, NJ; Palisades Park, NJ

National Provider Directory

National Provider Directory

Locations

540 Bergen Blvd
Palisades Pk, NJ 07650
Phone (201) 461-3970

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1750735536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ELY CT",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070392039",
            "telephone_number": "718-255-6391",
            "fax_number": "718-255-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ELY CT",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070392039",
            "telephone_number": "718-255-6391",
            "fax_number": "718-255-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED ANESTHESIA PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "NUSRAT",
        "authorized_official_first_name": "MIAH",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "718-255-6391"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.