Outpatient Management Physician Services Essex LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25MA04313600 Issued in NJ

Legal business name

OUTPATIENT MANAGEMENT PHYSICIAN SERVICES ESSEX LLC

Practice address

1460 Broad St
Bloomfield, NJ 07003-3014

Phone

(914) 725-8855

Fax

(914) 725-8877

NPI assigned

Jul 15, 2008

Last updated

Jul 7, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bruce D Kaufman, MDNPI 1477648897

Title

Owner

Phone

(914) 725-8855

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Bruce David Kaufman, MD

  • Anesthesiology Physician
  • Armonk, NY
  • NPI 1477648897
  Authorized official Same address or phone

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246924800000",
    "number": "1922262351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PATRIOTS FARM PL",
            "city": "ARMONK",
            "state": "NY",
            "postal_code": "105042810",
            "telephone_number": "914-725-8855",
            "fax_number": "914-725-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 BROAD ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033014",
            "telephone_number": "914-725-8855",
            "fax_number": "914-725-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTPATIENT MANAGEMENT PHYSICIAN SERVICES ESSEX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2009-07-07",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-725-8855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA04313600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Anesthesiology Physician in New Jersey

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