Monitored Anesthesia Care PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25MA03688900 Issued in NJ

Legal business name

MONITORED ANESTHESIA CARE PC

Practice address

55 S Hyde Ave
Unit #347
Iselin, NJ 08830-2180

Phone

(201) 953-3333

NPI assigned

Jul 22, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Prafulla R Shah, MD

Title

Registered Agent

Phone

(201) 953-3333

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311292800000",
    "number": "1962780015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077240550",
            "telephone_number": "201-953-3333",
            "fax_number": "732-440-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S HYDE AVE",
            "address_2": "UNIT #347",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088302180",
            "telephone_number": "201-953-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONITORED ANESTHESIA CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-22",
        "last_updated": "2011-07-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PRAFULLA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "201-953-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA03688900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aliyah Miles-Williams, DMD
• James P Milite, M.D.
• Minal&Sisters LLC
• Mitchell Martin Inc.
• Smita Modi, M.D.
• Amrit Kaur Moonga, O.D.
• Augustus Mosca, RD
• Lauren Kitzhoffer Mullen, O.D.
• Sapna Shibhu Nambiar, MD
• Natural Wellness Center LLC

• Anesthesiology Physician in Iselin, NJ
• Providers in Iselin, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; 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.