Organization Active NPI

North Jersey Anesthesia Associates PA

  • Specialist
  • Wayne, NJ
National Provider Identifier
1932126703
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA028375 Issued in NJ
Legal business name
NORTH JERSEY ANESTHESIA ASSOCIATES PA
Practice address
220 Hamburg Tpke Ste 4
Wayne, NJ 07470-2132
Phone
(973) 942-0400
Fax
(973) 942-0452
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jung Du Lee, MD
Title
President
Phone
(973) 427-9065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X MA028375 NJ Primary

Addresses

Primary practice location

220 Hamburg Tpke Ste 4
Wayne, NJ 07470-2132

Mailing address

262 Lincoln Ave
Hawthorne, NJ 07506-1201
Phone (973) 427-9065

Other identifiers 2

IdentifierTypeStateIssuer
1K9165OtherNJHEALTHNET
A510336OtherNJOXFORD

National Provider Directory

National Provider Directory

Locations

262 Lincoln Ave
Hawthorne, NJ 07506
Phone (973) 427-9065

220 Hamburg Tpke
Ste 4
Wayne, NJ 07470
Phone (973) 389-6022

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932126703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 LINCOLN AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075061201",
            "telephone_number": "973-427-9065",
            "fax_number": "973-427-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 HAMBURG TPKE STE 4",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702132",
            "telephone_number": "973-942-0400",
            "fax_number": "973-942-0452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH JERSEY ANESTHESIA ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JUNG",
        "authorized_official_middle_name": "DU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-427-9065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA028375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1K9165",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "A510336",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.