1215010590 NPI number — NORTHERN ANESTHESIA, P.A.

Table of content: MARIA CINDY ZHOU PHARMD (NPI 1265957443)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215010590 NPI number — NORTHERN ANESTHESIA, P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTHERN ANESTHESIA, P.A.
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:
1215010590
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 128
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
UNION
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07083-0128
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
908-653-9399
Provider Business Mailing Address Fax Number:
908-653-9305

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8 PINEWOOD TER
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KINNELON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07405-2186
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-653-9399
Provider Business Practice Location Address Fax Number:
908-653-9305
Provider Enumeration Date:
10/23/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SHREM
Authorized Official First Name:
LESLIE
Authorized Official Middle Name:
Authorized Official Title or Position:
ANESTHESIOLOGIST
Authorized Official Telephone Number:
908-653-9399

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X , 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)