Montclair Anesthesia Group

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

MONTCLAIR ANESTHESIA GROUP

Practice address

393 Bloomfield Ave
Montclair, NJ 07042-3741

Phone

(973) 746-1500

Fax

(973) 746-0955

NPI assigned

Mar 21, 2014

Last updated

Mar 21, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas V Campanella, M.D.

Title

Member

Phone

(973) 746-1500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1780001354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 BLOOMFIELD AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423741",
            "telephone_number": "973-746-1500",
            "fax_number": "973-746-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 BLOOMFIELD AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423741",
            "telephone_number": "973-746-1500",
            "fax_number": "973-746-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTCLAIR ANESTHESIA GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-21",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "CAMPANELLA",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "973-746-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.