Obstetric Anesthesia Associate

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

MA042237 Issued in NJ

Legal business name

OBSTETRIC ANESTHESIA ASSOCIATE

Practice address

3200 Kennedy Blvd
Jersey City, NJ 07306-3416

Phone

(201) 217-6822

Fax

(201) 217-6899

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Abdel Rahman Sayed Bakhaty, MD

Title

President

Phone

(201) 217-6822

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780724203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3485",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "07094",
            "telephone_number": "201-217-6822",
            "fax_number": "201-217-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063416",
            "telephone_number": "201-217-6822",
            "fax_number": "201-217-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSTETRIC ANESTHESIA ASSOCIATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAKHATY",
        "authorized_official_first_name": "ABDEL RAHMAN",
        "authorized_official_middle_name": "SAYED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-217-6822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "MA042237",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "MA044763",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Jersey City, NJ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.