Northeastern Anesthesia Institute LLC
Specialist in Clifton, New Jersey
1356891717- Practice location
- 1373 Broad St, Clifton, NJ 07013-4200
- Phone
- 201-342-1205
- Fax
- 201-342-1259
- Last updated
- October 10, 2016
Northeastern Anesthesia Institute LLC is a healthcare organization based in Clifton, NJ. Northeastern Anesthesia Institute LLC practices in Clifton, NJ. The NPI Number for Northeastern Anesthesia Institute LLC is 1356891717 and holds a License No. 25MA06129800 (NJ). The current practice location address for Northeastern Anesthesia Institute LLC is 1373 Broad St, Clifton, NJ 07013-4200 and can be reached out via phone at 201-342-1205 and via fax at 201-342-1259.
Provider Profile Details
- NPI Number
- 1356891717
- Provider Name
- Northeastern Anesthesia Institute LLC
- Provider Entity Type
- Organization
- Address
- 1373 Broad St, Clifton, NJ 07013-4200
- Phone Number
- 201-342-1205
- Fax Number
- 201-342-1259
- Primary Taxonomy
- Specialist · 174400000X
- Organization Subpart
- No
- Authorized Official
- Tomislav Prvulovic, MD · Sole Member · 201-342-1205
- Provider Enumeration Date
- October 10, 2016
- Last Update Date
- October 10, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1373 Broad St
Clifton, NJ 07013-4200 - City
- Clifton
- State
- New Jersey
- Zip
- 07013-4200
- Phone Number
- 201-342-1205
- Fax Number
- 201-342-1259
Provider Business Mailing Address Details
- Address
- 1373 Broad St
Clifton, NJ 07013-4200 - City
- Clifton
- State
- NJ
- Zip
- 07013-4200
- Phone Number
- 201-342-1205
- Fax Number
- 201-342-1259
License Information
- License Number
- 25MA06129800
- License State
- NJ
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Northeastern Anesthesia Institute LLC?
The NPI number of Northeastern Anesthesia Institute LLC is 1356891717. It was assigned on October 10, 2016 and is currently active in the NPPES registry.
What is the specialty of Northeastern Anesthesia Institute LLC?
Northeastern Anesthesia Institute LLC is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number 25MA06129800.
Where does Northeastern Anesthesia Institute LLC practice?
The practice location is 1373 Broad St, Clifton, NJ 07013-4200. The office can be reached at 201-342-1205 (phone) or 201-342-1259 (fax).
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 1356891717 directly on the NPPES registry website.