Organization Active NPI

Private Anesthesia Consultant PC

  • Anesthesiology Physician
  • Brooklyn, NY
National Provider Identifier
1871696716
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
PRIVATE ANESTHESIA CONSULTANT PC
Practice address
2647 Coney Island Ave FL 1
Private Anesthesia Consultant PC
Brooklyn, NY 11223-5502
Phone
(718) 382-0500
Fax
(718) 382-7025
NPI assigned
Sep 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

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

Authorized official

Name
Jacob Piskun, M.D.
Title
President
Phone
(201) 567-8814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

2647 Coney Island Ave FL 1
Private Anesthesia Consultant PC
Brooklyn, NY 11223-5502

Mailing address

14 Whitewood Road
Private Anesthesia Consultant, PC
Tenafly, NJ 07670
Phone (201) 567-8814

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311552000000",
    "number": "1871696716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WHITEWOOD ROAD",
            "address_2": "PRIVATE ANESTHESIA CONSULTANT, PC",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "07670",
            "telephone_number": "201-567-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2647 CONEY ISLAND AVE FL 1",
            "address_2": "PRIVATE ANESTHESIA CONSULTANT PC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235502",
            "telephone_number": "718-382-0500",
            "fax_number": "718-382-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE ANESTHESIA CONSULTANT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2011-07-25",
        "status": "A",
        "authorized_official_last_name": "PISKUN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-567-8814",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.