Healthcare Provider Details

I. General information

NPI: 1851908297
Provider Name (Legal Business Name): CAPITAL ANESTHESIA SOLUTIONS OF NEW JERSEY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2020
Last Update Date: 05/25/2021
Certification Date: 05/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 BOULEVARD
PASSAIC NJ
07055-2840
US

IV. Provider business mailing address

2000 E LAMAR BLVD STE 430
ARLINGTON TX
76006-7338
US

V. Phone/Fax

Practice location:
  • Phone: 800-930-6313
  • Fax: 239-610-0549
Mailing address:
  • Phone: 239-610-0775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER JAMES COPLEY
Title or Position: CEO
Credential: CRNA
Phone: 330-618-9944