Atlas Anesthesia Group LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

ATLAS ANESTHESIA GROUP LLC

Practice address

23 Annett Ave
Edgewater, NJ 07020-1530

Phone

(201) 342-1210

Fax

(201) 342-1259

NPI assigned

Mar 18, 2019

Last updated

Oct 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jignyasa Desai, DO

Title

Authorized Representative

Phone

(201) 342-1205

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1982163176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 ANNETT AVE",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201530",
            "telephone_number": "201-342-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 ANNETT AVE",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201530",
            "telephone_number": "201-342-1210",
            "fax_number": "201-342-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS ANESTHESIA GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2023-10-12",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "JIGNYASA",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "201-342-1205",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Edgewater, NJ
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• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.