NPIMap

Organization Active NPI

Specialty Anesthesia Associates, LLC

  • Anesthesiology Physician
  • Shrewsbury, NJ
National Provider Identifier
1932290111
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
SPECIALTY ANESTHESIA ASSOCIATES, LLC
Practice address
160 Avenue of the CMN
Shrewsbury, NJ 07702
Phone
(732) 380-1525
Fax
(732) 380-0124
NPI assigned
Sep 27, 2006
Last updated
May 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Authorized official

Name
Michael William O'Hara
Title
MD
Phone
(732) 380-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

160 Avenue of the CMN
Shrewsbury, NJ 07702

Mailing address

11350 McCormick Road,
Executive Plaza 1, Suite 501
Hunt Valley, MD 21031
Phone (410) 329-1071

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050114000208 NJ Part B Supplier - Clinic/Group Practice 3577512789 Receives reassigned benefits from 26 practitioners
Practice locations: Shrewsbury, NJ

National Provider Directory

National Provider Directory

Locations

234 Industrial Way W
Bldg 1
Eatontown, NJ 07724

55 Schanck Rd
Ste A-8
Freehold, NJ 07728
Phone (732) 702-2018

1215 Route 70
Lakewood, NJ 08701
Phone (732) 719-1800

Practitioners & affiliated clinicians

Practitioners 42

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.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1932290111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK ROAD,",
            "address_2": "EXECUTIVE PLAZA 1, SUITE 501",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "21031",
            "telephone_number": "410-329-1071",
            "fax_number": "410-329-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 AVENUE OF THE CMN",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "07702",
            "telephone_number": "732-380-1525",
            "fax_number": "732-380-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY ANESTHESIA ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "O'HARA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "732-380-0200"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.