Physician Anesthesia Services LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

PHYSICIAN ANESTHESIA SERVICES LLC

Practice address

1011 US Highway 22
Bridgewater, NJ 08807-2950

Phone

(908) 756-2424

NPI assigned

Jul 1, 2024

Last updated

Sep 25, 2024By 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

Ms. Nicole Hildebrandt

Title

Revenue Cycle Manager

Phone

(201) 705-3230

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ajaz Siddiqui, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Phillipsburg, NJ
  • NPI 1043645526
  Medicare reassignment Care Compare group NPD
• Robert Leo Wellner, DO

  • Anesthesiology Physician
  • Bethlehem, PA
  • NPI 1790862977

  NJ, Pain Medicine

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1811732704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 US HIGHWAY 22",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072950",
            "telephone_number": "908-756-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 US HIGHWAY 22",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072950",
            "telephone_number": "908-756-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN ANESTHESIA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "HILDEBRANDT",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "201-705-3230",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristinne Petrolis, D.P.T
• Marissa Petronzio
• Robert Jones Pharo Jr., OTR
• Philip Newman, D.P.M.
• Susan Phung, M.D.
• Colin Pierce, PTA
• Julianne Pieros
• Sylvia Piezas, M.D.
• Jean H Pineda, D.O.
• Samantha Pinkham, LCSW

• Pain Medicine (Anesthesiology) Physician in Bridgewater, NJ
• Providers in Bridgewater, NJ by specialty
• Pain Medicine (Anesthesiology) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.