New Bridge Anesthesia Group LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

25MB08610000 Issued in NJ

Legal business name

NEW BRIDGE ANESTHESIA GROUP LLC

Practice address

50 Mount Prospect Ave Ste 209
Clifton, NJ 07013-1900

Phone

(862) 238-8250

Fax

(862) 238-8255

NPI assigned

May 29, 2018

Last updated

May 29, 2018By 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

Sood Rahul, DO

Title

Ceo

Phone

(862) 238-8250

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1801387576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MOUNT PROSPECT AVE STE 209",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131900",
            "telephone_number": "862-238-8250",
            "fax_number": "862-238-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MOUNT PROSPECT AVE STE 209",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131900",
            "telephone_number": "862-238-8250",
            "fax_number": "862-238-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BRIDGE ANESTHESIA GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "RAHUL",
        "authorized_official_first_name": "SOOD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "862-238-8250",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MB08610000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Anesthesiology) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.