Northeast Ambulatory Anesthesia PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

NORTHEAST AMBULATORY ANESTHESIA PLLC

Practice address

55 Galileo Dr
Williamsville, NY 14221-2776

Phone

(716) 553-6931

NPI assigned

Jun 19, 2014

Organization subpart

No

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

Authorized official

Name

Rose Berkun, M.D.

Title

Sole Member

Phone

(716) 553-6931

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1962816728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 GALILEO DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212776",
            "telephone_number": "716-553-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 GALILEO DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212776",
            "telephone_number": "716-553-6931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST AMBULATORY ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "BERKUN",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "716-553-6931",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.