1639110406 NPI number — NORTH AMERICAN PARTNERS IN ANESTHESIA DELAWARE LLC

Table of content: (NPI 1639110406)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639110406 NPI number — NORTH AMERICAN PARTNERS IN ANESTHESIA DELAWARE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTH AMERICAN PARTNERS IN ANESTHESIA DELAWARE 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:
OUTPATIENT ANESTHESIA SPECIALISTS
Provider Other Organization Name Type Code:
4
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:
1639110406
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/03/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1305 WALT WHITMAN RD STE 300
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MELVILLE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11747-4300
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-945-3000
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2006 LIMESTONE RD
Provider Second Line Business Practice Location Address:
SUITE #5
Provider Business Practice Location Address City Name:
WILMINGTON
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19808-5553
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-995-1860
Provider Business Practice Location Address Fax Number:
302-995-5421
Provider Enumeration Date:
06/10/2006

Additional Information

Authorized Official

Authorized Official Last Name:
RICHTER
Authorized Official First Name:
MOLLY
Authorized Official Middle Name:
Authorized Official Title or Position:
PROVIDER ENROLLMENT MANAGER
Authorized Official Telephone Number:
516-945-3000

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X , with the licence number:  2002102450 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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