Organization Active NPI

Kings Anesthesia

  • Anesthesiology Physician
  • Belleville, NJ
National Provider Identifier
1770006306
Registry record updated Nov 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA09073500 Issued in NJ
Legal business name
KINGS ANESTHESIA
Practice address
727 Joralemon St
Belleville, NJ 07109-1455
Phone
(973) 450-1600
NPI assigned
Jul 25, 2017
Last updated
Nov 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2017

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

Authorized official

Name
Emmanuel Rodriguez, MDNPI 1023279114
Title
Partner
Phone
(917) 270-1655

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 Physician 207L00000X 25MA09073500 NJ Primary

Addresses

Primary practice location

727 Joralemon St
Belleville, NJ 07109-1455

Mailing address

359 Webster Ave Unit 2
Jersey City, NJ 07307-1009
Phone (917) 270-1655

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171102000270 NJ Part B Supplier - Clinic/Group Practice 2365708682 Receives reassigned benefits from 2 practitioners
Practice locations: Garfield, NJ

National Provider Directory

National Provider Directory

Locations

245 Wessington Ave
Garfield, NJ 07026
Phone (862) 232-1500

Practitioners & affiliated clinicians

Practitioners 2

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": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509494400000",
    "number": "1770006306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 WEBSTER AVE UNIT 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073071009",
            "telephone_number": "917-270-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 JORALEMON ST",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091455",
            "telephone_number": "973-450-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2017-11-01",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "917-270-1655",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA09073500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; 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.