American Anesthesia Associate P C

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

246186 Issued in NY

Legal business name

AMERICAN ANESTHESIA ASSOCIATE P C

Practice address

2512 148TH St
Flushing, NY 11354-1433

Phone

(718) 219-2207

NPI assigned

Jan 15, 2015

Organization subpart

No

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

Authorized official

Name

Muhammad A Momen

Title

Administrative Assistant

Phone

(718) 200-0723

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467849600000",
    "number": "1992194864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 148TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541433",
            "telephone_number": "718-200-0723",
            "fax_number": "516-706-6026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 148TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541433",
            "telephone_number": "718-219-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN ANESTHESIA ASSOCIATE P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2016-07-07",
        "status": "A",
        "authorized_official_last_name": "MOMEN",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "718-200-0723"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "246186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02584614",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; 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.