Healthcare Provider Details

I. General information

NPI: 1386654036
Provider Name (Legal Business Name): AMERICAN ANESTHESIOLOGY OF NEW JERSEY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 01/25/2021
Certification Date: 01/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30B VREELAND RD SUITE 200
FLORHAM PARK NJ
07932-1926
US

IV. Provider business mailing address

PO BOX 933130
ATLANTA GA
31193-0037
US

V. Phone/Fax

Practice location:
  • Phone: 973-660-9334
  • Fax: 973-660-9779
Mailing address:
  • Phone: 973-660-9334
  • Fax: 973-660-9779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JAY LEE
Title or Position: VICE PRESIDENT
Credential: MD
Phone: 516-945-3177