Organization Active NPI

Quality Anesthesia Services

  • Anesthesiology Physician
  • Montvale, NJ
National Provider Identifier
1962033993
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
QUALITY ANESTHESIA SERVICES
Practice address
133 N Kinderkamack Rd
Montvale, NJ 07645-1313
Phone
(201) 847-8079
Fax
(201) 847-0059
NPI assigned
Jan 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Kareem Eltaki, MDNPI 1013181221
Title
Member
Phone
(201) 847-8079

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
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

133 N Kinderkamack Rd
Montvale, NJ 07645-1313

Mailing address

PO Box 629
Franklin Lakes, NJ 07417-0629
Phone (201) 847-8079

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200302000188 NJ Part B Supplier - Clinic/Group Practice 0648607788 Receives reassigned benefits from 6 practitioners
Practice locations: Montvale, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1962033993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 629",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074170629",
            "telephone_number": "201-847-8079",
            "fax_number": "201-847-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 N KINDERKAMACK RD",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451313",
            "telephone_number": "201-847-8079",
            "fax_number": "201-847-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY ANESTHESIA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-29",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "ELTAKI",
        "authorized_official_first_name": "KAREEM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "201-847-8079",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montvale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.