Active NPIIndividual provider

Dr. Teimouraz Vassilidze, MD

Anesthesiology in Elizabeth, New Jersey

NPI Number1649299553
Practice location
225 Williamson Street, Elizabeth, NJ 07202
Fax
—
Last updated
June 5, 2018

Teimouraz Vassilidze is an Anesthesiology based in Elizabeth, NJ. Teimouraz Vassilidze practices in Elizabeth, NJ and has the professional credentials of MD. The NPI Number for Teimouraz Vassilidze is 1649299553 and holds a License No. 291354 (NY). The current practice location address for Teimouraz Vassilidze is 225 Williamson Street, Elizabeth, NJ 07202 and can be reached out via phone at 908-994-5204.

Provider Profile Details

NPI Number
1649299553
Provider Name
Teimouraz Vassilidze
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
225 Williamson Street, Elizabeth, NJ 07202
Phone Number
908-994-5204
Primary Taxonomy
Anesthesiology · 207L00000X
Sole Proprietor
No
Provider Enumeration Date
July 19, 2006
Last Update Date
June 5, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
225 Williamson Street
Elizabeth, NJ 07202
Zip
07202
Phone Number
908-994-5204
Elizabeth, NJ 07202Get directions →

Provider Business Mailing Address Details

Address
20 Sherwood Dr
Watchung, NJ 07069-6136
City
Watchung
State
NJ
Zip
07069-6136

License Information

License Number (1)
291354
License State (1)
NY
Taxonomy (1)
Anesthesiology · 207L00000X
License Number (2)
25MA06904200
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 Dr. Teimouraz Vassilidze, MD?

The NPI number of Dr. Teimouraz Vassilidze, MD is 1649299553. It was assigned on July 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Teimouraz Vassilidze, MD?

Dr. Teimouraz Vassilidze, MD is registered under the primary taxonomy Anesthesiology (code 207L00000X), licensed in NY under license number 291354.

Where does Dr. Teimouraz Vassilidze, MD practice?

The practice location is 225 Williamson Street, Elizabeth, NJ 07202. The office can be reached at 908-994-5204 (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 1649299553 directly on the NPPES registry website.

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