Organization Active NPI

Total Anesthesia Provider , PC

  • Specialist
  • Great Neck, NY
National Provider Identifier
1881001485
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
257043 Issued in NY
Legal business name
TOTAL ANESTHESIA PROVIDER , PC
Practice address
4 Sands CT
Great Neck, NY 11023-1901
Phone
(917) 392-3859
NPI assigned
Jul 15, 2014
Last updated
Nov 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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

Authorized official

Name
Dr. David Shabtian, D.ONPI 1700104114
Title
President
Phone
(917) 392-3859

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 257043 NY Primary

Addresses

Primary practice location

4 Sands CT
Great Neck, NY 11023-1901

Mailing address

4 Sands CT
Great Neck, NY 11023-1901
Phone (917) 392-3859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160126001617 NY Part B Supplier - Clinic/Group Practice 3678876695 Receives reassigned benefits from 1 practitioner
Practice locations: Forest Hills, NY; Glendale, NY; Great Neck, NY; Hempstead, NY; Huntington Station, NY; New York, NY; Bronx, NY; Ozone Park, NY…

National Provider Directory

National Provider Directory

Locations

4564 Francis Lewis Blvd
Ste 200
Bayside, NY 11361
Phone (516) 888-7614

1894 Eastchester Rd
Ste 201
Bronx, NY 10461
Phone (347) 657-0877

3632 Bailey Ave
Bronx, NY 10463

358 Neptune Ave
Brooklyn, NY 11235

632 Utica Ave
Brooklyn, NY 11203
Phone (347) 888-9138

9714 Rockaway Blvd
Ozone Park, NY 11417

10520 Rockaway Beach Blvd
Rockaway Park, NY 11694
Phone (718) 819-5448

11 Sunrise Plz
Valley Stream, NY 11580
Phone (516) 218-2555

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1881001485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SANDS CT",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231901",
            "telephone_number": "917-392-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SANDS CT",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231901",
            "telephone_number": "917-392-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL ANESTHESIA PROVIDER , PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "SHABTIAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-392-3859",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "257043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.