Healthcare Provider Details

I. General information

NPI: 1447536446
Provider Name (Legal Business Name): CHELSEA ANESTHESIA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2011
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 STATE RT 23 STE 11
RIVERDALE NJ
07457-1603
US

IV. Provider business mailing address

44 STATE RT 23 STE 11
RIVERDALE NJ
07457-1603
US

V. Phone/Fax

Practice location:
  • Phone: 201-849-5731
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE CANNIZZARO
Title or Position: MANAGER
Credential:
Phone: 201-849-5731