NPIMap

Organization Active NPI

Community Anesthesia Services

  • Specialist
  • Great Neck, NY
National Provider Identifier
1790780203
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
COMMUNITY ANESTHESIA SERVICES
Practice address
488 Great Neck Rd
Suite 300
Great Neck, NY 11021-4315
Phone
(516) 482-6747
NPI assigned
Jun 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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

Authorized official

Name
James Koppel, M.D.
Title
President
Phone
(516) 488-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

488 Great Neck Rd
Suite 300
Great Neck, NY 11021-4315

Mailing address

PO Box 1087
Rockville Centre, NY 11571-1087
Phone (201) 804-2800

Other identifiers 1

IdentifierTypeStateIssuer
00934914MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1790780203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1087",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115711087",
            "telephone_number": "201-804-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 GREAT NECK RD",
            "address_2": "SUITE 300",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214315",
            "telephone_number": "516-482-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ANESTHESIA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "KOPPEL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-488-5050",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00934914",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; 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.