Healthcare Provider Details

I. General information

NPI: 1982711032
Provider Name (Legal Business Name): ANESTHESIA ASSOCIATES OF NJ LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE CLARA MAASS DR
BELLEVILLE NJ
07109
US

IV. Provider business mailing address

PO BOX 128
UNION NJ
07083
US

V. Phone/Fax

Practice location:
  • Phone: 908-653-9399
  • Fax: 908-653-9305
Mailing address:
  • Phone: 866-291-9707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: JOSE DE TRESPALACIOS
Title or Position: MANAGING DIRECTOR
Credential: MD
Phone: 908-653-9399