Individual provider Active NPI

Athanasios Scinas, MD

  • Anesthesiology Physician
  • Jersey City, NJ
National Provider Identifier
1922000207
Registry record updated Jun 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA06945500 Issued in NJ
Practice address
550 Newark Ave
5TH Floor
Jersey City, NJ 07305-0550
Phone
(201) 795-0205
NPI assigned
Jun 1, 2005
Last updated
Jun 8, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA06945500 NJ Primary

Addresses

Primary practice location

550 Newark Ave
5TH Floor
Jersey City, NJ 07305-0550

Mailing address

PO Box 35
Pittsburgh, PA 15230-0035
Phone (412) 937-5700

Other identifiers 1

IdentifierTypeStateIssuer
P00473189OtherNJRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041210000095 NJ Practitioner - Anesthesiology 7618868019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06945500NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Journal Square Surgical Center LLC Current Accepting new patients
PH Anesthesia Associates PC Anesthesiology Past Accepting new patients
Consultants of Ambulatory Anesthesia, LLC PastSince Feb 15, 2014 Accepting new patients
Anesthesia Associates of NJ LLC Anesthesiology Past Accepting new patients

Locations

550 Newark Ave
Fl 5
Jersey City, NJ 07306
Phone (201) 795-0205

Organizations & group practices 5

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244419200000",
    "number": "1922000207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152300035",
            "telephone_number": "412-937-5700",
            "fax_number": "770-666-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 NEWARK AVE",
            "address_2": "5TH FLOOR",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073050550",
            "telephone_number": "201-795-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCINAS",
        "first_name": "ATHANASIOS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2009-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA06945500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00473189",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.