Individual provider Active NPI

Anne Marie Kiltinen, MD

  • Anesthesiology Physician
  • Hackensack, NJ
National Provider Identifier
1851363246
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
197889 Issued in NY
Practice address
240 Prospect Ave
#244
Hackensack, NJ 07601-2511
Phone
(201) 525-0964
NPI assigned
Feb 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 197889 NY Primary
Anesthesiology Physician 207L00000X MA066112 NJ

Addresses

Primary practice location

240 Prospect Ave
#244
Hackensack, NJ 07601-2511

Mailing address

825 Avenue W
Brooklyn, NY 11223-5558
Phone (718) 336-1810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA066112NJMDAnesthesiology Physician
197889NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gravesend Medical Services,P.C. PastSince Sep 6, 2006 Accepting new patients
Pain Management & Rehabilitative Physical Medicine, PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286236800000",
    "number": "1851363246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 AVENUE W",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235558",
            "telephone_number": "718-336-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 PROSPECT AVE",
            "address_2": "#244",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012511",
            "telephone_number": "201-525-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILTINEN",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2010-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "197889",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "MA066112",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.