Active NPIIndividual providerSole proprietor

Anastasios Fotinos, DO

Anesthesiology in Newark, New Jersey

NPI Number1083110829
Practice location
111 Central Ave, Newark, NJ 07102-1909
Fax
—
Last updated
April 21, 2023

Anastasios Fotinos is an Anesthesiology based in Newark, NJ. Anastasios Fotinos practices in Newark, NJ and has the professional credentials of DO. The NPI Number for Anastasios Fotinos is 1083110829 and holds a License No. 25mb11395900 (NJ). The current practice location address for Anastasios Fotinos is 111 Central Ave, Newark, NJ 07102-1909 and can be reached out via phone at 973-877-5000.

Provider Profile Details

NPI Number
1083110829
Provider Name
Anastasios Fotinos
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
111 Central Ave, Newark, NJ 07102-1909
Phone Number
973-877-5000
Primary Taxonomy
Anesthesiology · 207L00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 2, 2018
Last Update Date
April 21, 2023
Certification Date
May 11, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Central Ave
Newark, NJ 07102-1909
City
Newark
Zip
07102-1909
Phone Number
973-877-5000
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
2516 Ramshorn Dr
Manasquan, NJ 08736-2114
City
Manasquan
State
NJ
Zip
08736-2114
Phone Number
732-512-8565

License Information

License Number (1)
25mb11395900
License State (1)
NJ
Taxonomy (1)
Anesthesiology · 207L00000X
License Number (2)
25MB11395900
License State (2)
NJ
Taxonomy (2)
Anesthesiology · 207L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Anastasios Fotinos, DO?

The NPI number of Anastasios Fotinos, DO is 1083110829. It was assigned on April 2, 2018 and is currently active in the NPPES registry.

What is the specialty of Anastasios Fotinos, DO?

Anastasios Fotinos, DO is registered under the primary taxonomy Anesthesiology (code 207L00000X), licensed in NJ under license number 25mb11395900.

Where does Anastasios Fotinos, DO practice?

The practice location is 111 Central Ave, Newark, NJ 07102-1909. The office can be reached at 973-877-5000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083110829 directly on the NPPES registry website.

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