NPIMap

Organization Active NPI

Mosaic Anesthesia & Perioperative Services, PA

  • Anesthesiology Physician
  • New Bern, NC
National Provider Identifier
1962459115
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MOSAIC ANESTHESIA & PERIOPERATIVE SERVICES, PA
Practice address
2719 Neuse Blvd
B & C
New Bern, NC 28562-2840
Phone
(252) 633-6117
Fax
(252) 633-2644
NPI assigned
May 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Authorized official

Name
Amy A Bergman
Title
Practice Manager
Phone
(252) 633-6117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

2719 Neuse Blvd
B & C
New Bern, NC 28562-2840

Mailing address

2719 Neuse Blvd
B & C
New Bern, NC 28562-2840
Phone (252) 633-6117

Other identifiers 1

IdentifierTypeStateIssuer
8902319MedicaidNC

Other names 1

  • New Bern Anesthesia Associates, PA Former legal business name

National Provider Directory

National Provider Directory

Locations

1421C S Glenburnie Rd
New Bern, NC 28562
Phone (252) 633-5690

2719 Neuse Blvd
Ste B
New Bern, NC 28562
Phone (252) 633-6117

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1962459115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 NEUSE BLVD",
            "address_2": "B & C",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622840",
            "telephone_number": "252-633-6117",
            "fax_number": "252-633-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 NEUSE BLVD",
            "address_2": "B & C",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622840",
            "telephone_number": "252-633-6117",
            "fax_number": "252-633-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC ANESTHESIA & PERIOPERATIVE SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "BERGMAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "252-633-6117"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902319",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Bern Anesthesia Associates, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.