NPIMap

Organization Active NPI

Anesthesia Care, PC

Doing business as AnestheCare

  • Anesthesiology Physician
  • Staten Island, NY
National Provider Identifier
1972734184
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
232151 Issued in NY
Legal business name
ANESTHESIA CARE, PC
Doing business as
AnestheCare
Practice address
2627 Hylan Blvd.
C/O Dr. Alex Bruckstein
Staten Island, NY 10306
Phone
(917) 406-3069
NPI assigned
Aug 5, 2009
Last updated
May 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2020

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

Authorized official

Name
Dr. Chaitanya Kadiyala, MDNPI 1881662922
Title
President
Phone
(917) 406-3069

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 232151 NY Primary

Addresses

Primary practice location

2627 Hylan Blvd.
C/O Dr. Alex Bruckstein
Staten Island, NY 10306

Mailing address

565 Plandome Rd Ste 286
Manhasset, NY 11030-1945
Phone (917) 406-3069

Other names 1

  • AnestheCare Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588291200000",
    "number": "1972734184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 PLANDOME RD STE 286",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110301945",
            "telephone_number": "917-406-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 HYLAN BLVD.",
            "address_2": "C/O DR. ALEX BRUCKSTEIN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10306",
            "telephone_number": "917-406-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-05",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A",
        "authorized_official_last_name": "KADIYALA",
        "authorized_official_first_name": "CHAITANYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-406-3069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "232151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AnestheCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AnestheCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; 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.