Organization Active NPI

Interborough Anesthesia PLLC

  • Specialist
  • Bronx, NY
National Provider Identifier
1942559513
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2177441 Issued in NY
Legal business name
INTERBOROUGH ANESTHESIA PLLC
Practice address
1973 University Ave
Bronx, NY 10453-4404
Phone
(718) 708-8000
NPI assigned
Aug 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Authorized official

Name
Dr. Fenar Themistocle, MD
Title
Doctor
Phone
(718) 708-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 2177441 NY Primary

Addresses

Primary practice location

1973 University Ave
Bronx, NY 10453-4404

Mailing address

PO Box 520390
Flushing, NY 11355-0390
Phone (718) 755-0656

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1942559513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520390",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113550390",
            "telephone_number": "718-755-0656",
            "fax_number": "888-500-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1973 UNIVERSITY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534404",
            "telephone_number": "718-708-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERBOROUGH ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "THEMISTOCLE",
        "authorized_official_first_name": "FENAR",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "718-708-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "2177441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.