1205005840 NPI number — RIK ANESTHESIA ASSOCIATES, LLC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205005840 NPI number — RIK ANESTHESIA ASSOCIATES, LLC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RIK ANESTHESIA ASSOCIATES, LLC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205005840
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/28/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
282 SOUTH AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FANWOOD
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07023-1372
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-850-0132
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
20 SHERWOOD DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WATCHUNG
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07069-6136
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-668-4664
Provider Business Practice Location Address Fax Number:
908-668-1411
Provider Enumeration Date:
02/28/2008

Additional Information

Authorized Official

Authorized Official Last Name:
VASSILIDZE
Authorized Official First Name:
TEIMOURAZ
Authorized Official Middle Name:
V
Authorized Official Title or Position:
ANESTHESIOLOGIST/ MEMBER
Authorized Official Telephone Number:
732-850-0132

Provider Taxonomy Codes

  • Taxonomy code: 261QA1903X , with the licence number:  25MA06904200 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com