Organization Active NPI

Garden State Anesthesia Management, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Edison, NJ
National Provider Identifier
1801191820
Registry record updated Jan 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
GARDEN STATE ANESTHESIA MANAGEMENT, LLC
Practice address
1692 Oak Tree Rd
Edison, NJ 08820-2853
Phone
(732) 635-9729
Fax
(732) 906-7801
NPI assigned
Jan 22, 2011
Last updated
Jan 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2011

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

Authorized official

Name
Kishori Shah, M.D.
Title
Medical Director
Phone
(732) 906-0370

Specialties & licenses 1

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

Addresses

Primary practice location

1692 Oak Tree Rd
Edison, NJ 08820-2853

Mailing address

1692 Oak Tree Rd
Edison, NJ 08820-2853
Phone (732) 635-9729

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1295654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295654400000",
    "number": "1801191820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1692 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202853",
            "telephone_number": "732-635-9729",
            "fax_number": "732-906-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1692 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202853",
            "telephone_number": "732-635-9729",
            "fax_number": "732-906-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE ANESTHESIA MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-22",
        "last_updated": "2011-01-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "KISHORI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "732-906-0370",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.