=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184818163
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DREAMSCAPE ANESTHESIA SERVICES, PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/31/2007
-----------------------------------------------------
Last Update Date | 08/04/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 111 TOWN SQUARE PL STE 420
-----------------------------------------------------
City | JERSEY CITY
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07310-1724
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 917-621-6854
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 25 CHRISTOPHER COLUMBUS DRIVE STE #5403
-----------------------------------------------------
City | JERSEY CITY
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07302
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 917-621-6854
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGING MEMBER
-----------------------------------------------------
Name | DR. HAROON W. CHAUDHRY
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 917-621-6854
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207L00000X
-----------------------------------------------------
Taxonomy Name | Anesthesiology Physician
-----------------------------------------------------
License Number | 211953
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------