Organization Active NPI

Roytenberg Anesthesia Services PC

  • Pain Medicine (Anesthesiology) Physician
  • Far Rockaway, NY
National Provider Identifier
1942526033
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
214990 Issued in NY
Legal business name
ROYTENBERG ANESTHESIA SERVICES PC
Practice address
230 Beach 102ND St
Suite C4
Far Rockaway, NY 11694-2871
Phone
(718) 474-4734
NPI assigned
Apr 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Authorized official

Name
Vadim Roytenberg, MDNPI 1073505905
Title
President
Phone
(718) 743-7090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X 214990 NY Primary

Addresses

Primary practice location

230 Beach 102ND St
Suite C4
Far Rockaway, NY 11694-2871

Mailing address

2455 Shelly CT
Bellmore, NY 11710-5133

National Provider Directory

National Provider Directory

Locations

230 Beach 102nd St
Ste C4
Far Rockaway, NY 11694
Phone (718) 474-4734

230 Beach 102nd St
Ste 4
Rockaway Park, NY 11694
Phone (718) 474-4734

Practitioners & affiliated clinicians

Practitioners 1

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": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1942526033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 SHELLY CT",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 BEACH 102ND ST",
            "address_2": "SUITE C4",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116942871",
            "telephone_number": "718-474-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYTENBERG ANESTHESIA SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "ROYTENBERG",
        "authorized_official_first_name": "VADIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-743-7090",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "214990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; 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.