Astram Anesthesia PA

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25MA03147000 Issued in NJ

Legal business name

ASTRAM ANESTHESIA PA

Practice address

100 W Saddle River Rd
Saddle River, NJ 07458-3020

Phone

(201) 956-1480

Fax

(201) 962-8731

NPI assigned

Jan 19, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Renato Cruz Miguel, M.D.

Title

President

Phone

(201) 956-1480

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1972874147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W SADDLE RIVER RD",
            "city": "SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074583020",
            "telephone_number": "201-956-1480",
            "fax_number": "201-962-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W SADDLE RIVER RD",
            "city": "SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074583020",
            "telephone_number": "201-956-1480",
            "fax_number": "201-962-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTRAM ANESTHESIA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "MIGUEL",
        "authorized_official_first_name": "RENATO",
        "authorized_official_middle_name": "CRUZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-956-1480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA03147000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3731707",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Saddle River, NJ
• Providers in Saddle River, 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 Jan 19, 2012; 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.