Organization Active NPI

Progressive Anesthesia PLLC

  • Anesthesiology Physician
  • Teaneck, NJ
National Provider Identifier
1902032782
Registry record updated Jun 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
PROGRESSIVE ANESTHESIA PLLC
Practice address
1270 Fayette St
Teaneck, NJ 07666-2118
Phone
(201) 703-5312
NPI assigned
Jun 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2009

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

Authorized official

Name
Ms. Pamela Sharkey
Title
Director Billing Operations
Phone
(201) 703-5312

Specialties & licenses 1

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

Addresses

Primary practice location

1270 Fayette St
Teaneck, NJ 07666-2118

Mailing address

1270 Fayette St
Teaneck, NJ 07666-2118
Phone (201) 703-5312

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1244332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244332800000",
    "number": "1902032782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 FAYETTE ST",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662118",
            "telephone_number": "201-703-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 FAYETTE ST",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662118",
            "telephone_number": "201-703-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-07",
        "last_updated": "2009-06-07",
        "status": "A",
        "authorized_official_last_name": "SHARKEY",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "DIRECTOR BILLING OPERATIONS",
        "authorized_official_telephone_number": "201-703-5312",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2009; 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.