Organization Active NPI

Mobile Anesthesia Assoc PC

  • Anesthesiology Physician
  • Flushing, NY
National Provider Identifier
1962560607
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
158429 Issued in NY
Legal business name
MOBILE ANESTHESIA ASSOC PC
Practice address
7119 Park Ave
2ND Floor
Flushing, NY 11365-4136
Phone
(718) 591-6604
Fax
(718) 591-7105
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
Dr. Mikhail I Zalmanov, MD
Title
President
Phone
(718) 591-6604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X 158429 NY Primary

Addresses

Primary practice location

7119 Park Ave
2ND Floor
Flushing, NY 11365-4136

Mailing address

71 19 Park Avenue
2ND Floor
Flushing, NY 11365-4136
Phone (718) 591-6604

National Provider Directory

National Provider Directory

Locations

142 E 39th St
Apt 2
New York, NY 10016
Phone (212) 370-5466

Practitioners & affiliated clinicians

Practitioners 3

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": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1962560607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 19 PARK AVENUE",
            "address_2": "2ND FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113654136",
            "telephone_number": "718-591-6604",
            "fax_number": "718-591-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7119 PARK AVE",
            "address_2": "2ND FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113654136",
            "telephone_number": "718-591-6604",
            "fax_number": "718-591-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE ANESTHESIA ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "ZALMANOV",
        "authorized_official_first_name": "MIKHAIL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-591-6604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "158429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.