Individual provider Active NPI

Mindy Nestampower, MD

  • Anesthesiology Physician
  • Ridgewood, NJ
National Provider Identifier
1851476626
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MA65972 Issued in NJ
Practice address
1200 E Ridgewood Ave
Ridgewood, NJ 07450
Phone
(201) 444-4499
NPI assigned
Oct 27, 2006
Last updated
Mar 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X MA65972 NJ
Anesthesiology Physician 207L00000X MA65972 NJ Primary

Addresses

Primary practice location

1200 E Ridgewood Ave
Ridgewood, NJ 07450

Mailing address

332 Ramapo Valley Rd Unit 615
Oakland, NJ 07436-7604
Phone (201) 644-7700

Other practice location 1

350 Ramapo Valley Rd
Suite 18-282
Oakland, NJ 07436-2702
Phone (201) 644-7700

Other identifiers 1

IdentifierTypeStateIssuer
003728YYQOtherPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050818000724 NJ Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 1355230871 Reassigns benefits to 5 organizations
I20100309000072 NY Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 1355230871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Albany Medical College of Union University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Ambulatory Anesthesia LLCGroup PAC ID 9335134170, 9 clinicians
Bay AnesthesiaGroup PAC ID 0446639306, 75 clinicians

Practice addresses (Care Compare)

1176 Hamburg Tpke
Wayne, NJ 07470-5069
Phone (973) 709-1900

561 Cranbury Rd
East Brunswick, NJ 08816-5400
Phone (201) 620-3010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA65972NJMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Anesthesia LLC Anesthesiology CurrentSince Dec 25, 2023 Accepting new patients
New Jersey Healthcare Specialists PC Anesthesiology CurrentSince May 23, 2016 Accepting new patients
State of New York Comptrollers Office CurrentSince May 10, 2017 Accepting new patients
Gastroenterology Associates of New Jersey, LLC Anesthesiology CurrentSince Jan 7, 2024 Accepting new patients
State of New York CurrentSince May 10, 2017 Accepting new patients
State of New York Comptrollers Office Current Accepting new patients
Shrewsbury Ambulatory Anesthesia LLC Anesthesiology CurrentSince May 1, 2024 Accepting new patients
Advanced Ambulatory Anesthesia, LLC Anesthesiology CurrentSince May 15, 2022 Accepting new patients
Bergen Anesthesia Associates PA Past Accepting new patients
Jandee Anesthesiology Anesthesiology Past Accepting new patients

Locations

197 Ridgedale Ave
Ste 100
Cedar Knolls, NJ 07927
Phone (973) 292-0700

925 Clifton Ave
Ste 201
Clifton, NJ 07013
Phone (973) 249-7700

925 Clifton Ave
Clifton, NJ 07013
Phone (908) 722-9556

561 Cranbury Rd
East Brunswick, NJ 08816
Phone (201) 620-3010

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

170 Prospect Ave
Ste 10
Hackensack, NJ 07601
Phone (201) 489-0030

1215 Route 70
Ste 2000
Lakewood, NJ 08701
Phone (732) 719-1800

80 Eisenhower Dr
Paramus, NJ 07652
Phone (201) 336-1100

80 Eisenhower Dr
Ste 100
Paramus, NJ 07652
Phone (201) 336-1100

500 N Franklin Tpke
Ramsey, NJ 07446
Phone (201) 995-9975

500 N Franklin Tpke
#C
Ramsey, NJ 07446
Phone (201) 962-7282

655 Shrewsbury Ave
Shrewsbury, NJ 07702
Phone (732) 450-6000

301 Lakehurst Rd
Toms River, NJ 08755
Phone (732) 281-1590

525 Union Blvd
Totowa, NJ 07512
Phone (862) 229-0559

307 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 790-7700

1176 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 283-0002

1130 McBride Ave
Fl 3
Woodland Park, NJ 07424
Phone (973) 785-2277

205 Browertown Rd
Woodland Park, NJ 07424
Phone (973) 785-7515

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJIGAA

Organizations & group practices 11

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1851476626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 RAMAPO VALLEY RD UNIT 615",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074367604",
            "telephone_number": "201-644-7700",
            "fax_number": "201-644-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E RIDGEWOOD AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "07450",
            "telephone_number": "201-444-4499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Ramapo Valley Rd",
            "address_2": "Suite 18-282",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "NJ",
            "postal_code": "074362702",
            "country_code": "US",
            "telephone_number": "201-644-7700",
            "fax_number": "201-644-7195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NESTAMPOWER",
        "first_name": "MINDY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "MA65972",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "MA65972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "003728YYQ",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.