NPIMap

Organization Active NPI

Outpatient Anesthesia Associates, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Union, NJ
National Provider Identifier
1760596530
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
OUTPATIENT ANESTHESIA ASSOCIATES, LLC
Practice address
695 Chestnut St
Union, NJ 07083-7200
Phone
(908) 851-8602
Fax
(908) 686-8758
NPI assigned
Aug 18, 2006
Last updated
Jun 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Authorized official

Name
Steve Shane
Title
President
Phone
(908) 851-8602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU Primary

Addresses

Primary practice location

695 Chestnut St
Union, NJ 07083-7200

Mailing address

PO Box 415742
Boston, MA 02241
Phone (908) 851-8602

National Provider Directory

National Provider Directory

Locations

37 E Willow St
Millburn, NJ 07041
Phone (973) 821-3387

695 Chestnut St
Union, NJ 07083
Phone (908) 688-6565

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308182400000",
    "number": "1760596530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415742",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02241",
            "telephone_number": "908-851-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 CHESTNUT ST",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837200",
            "telephone_number": "908-851-8602",
            "fax_number": "908-686-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTPATIENT ANESTHESIA ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2011-06-16",
        "status": "A",
        "authorized_official_last_name": "SHANE",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-851-8602"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.