NPIMap

Organization Active NPI

C & C Anesthesia PLLC

  • Specialist
  • Forest Hills, NY
National Provider Identifier
1891139408
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
244251-1 Issued in NY
Legal business name
C & C ANESTHESIA PLLC
Practice address
10721 Queens Blvd
Suite 4
Forest Hills, NY 11375-4413
Phone
(718) 520-0857
Fax
(718) 520-9099
NPI assigned
Apr 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

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

Authorized official

Name
Dr. Julissa Cruz, M.D.
Title
Officer
Phone
(718) 520-0857

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 244251-1 NY Primary

Addresses

Primary practice location

10721 Queens Blvd
Suite 4
Forest Hills, NY 11375-4413

Mailing address

425 East 13TH Street
#5N
New York, NY 10009
Phone (718) 520-0857

National Provider Directory

National Provider Directory
Tax ID family
C C Anesthesia PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1891139408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 EAST 13TH STREET",
            "address_2": "#5N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10009",
            "telephone_number": "718-520-0857",
            "fax_number": "718-520-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10721 QUEENS BLVD",
            "address_2": "SUITE 4",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754413",
            "telephone_number": "718-520-0857",
            "fax_number": "718-520-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & C ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-25",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "JULISSA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "718-520-0857",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "244251-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; 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.