MEDICARE: COUNTY WIDE ANESTHESIA GROUP, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568465979
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY WIDE ANESTHESIA GROUP, LLC

Provider Business Mailing Address
First Line	:	PO BOX 453
Second Line	:
City	:	MIDLAND PARK
State	:	NJ
Zip	:	07432-0453
Country	:	US
Telephone Number	:	201-804-2800
Fax Number	:

Provider Business Practice Location Address
First Line	:	680 BROADWAY
Second Line	:
City	:	PATERSON
State	:	NJ
Zip	:	07514-1422
Country	:	US
Telephone Number	:	973-977-6600
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CARLOS FRIAS
Credential	:
Telephone Number	:	973-977-6600

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1033112115 — JOSEPH ALBERT PENA M.D.
Practice Location Address:

680 BROADWAY , BARNERT HOSPITAL ANESTHESIA DEPT
PATERSON, NJ
07514-1422

Practice Phone: 201-339-1700
Practice Fax: 201-339-6972

1285626721 — DR. SHING HONG LU MD
Practice Location Address:

680 BROADWAY
PATERSON, NJ
07514-1422

Practice Phone: 732-212-0060
Practice Fax:

1952394389 — DR. WASEEM ASHRAF MD
Practice Location Address:

680 BROADWAY , BARNERT HOSPITAL ANESTHESIA DEPT
PATERSON, NJ
07514-1422

Practice Phone: 201-339-1700
Practice Fax: 201-339-6972

1609817329 — PATERSON EMERGENCY PHYSICIANS PC
Practice Location Address:

680 BROADWAY
PATERSON, NJ
07514-1422

Practice Phone: 973-977-6603
Practice Fax:

1841225026 — MR. EDWIN CABASSA MSN,APRN,BC
Practice Location Address:

680 BROADWAY
PATERSON, NJ
07514-1422

Practice Phone: 973-977-6657
Practice Fax: 973-977-6658

1093740375 — ALDEN LEIFER MD
Practice Location Address:

680 BROADWAY , SUITE 114
PATERSON, NJ
07514-1422

Practice Phone: 973-742-4747
Practice Fax: 973-742-0629

Directions to “COUNTY WIDE ANESTHESIA GROUP, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.