ADVANCED ANESTHESIA CARE MD PC NPI 1053514034

NPI Information

  • NPI: 1053514034
  • Provider Name: ADVANCED ANESTHESIA CARE MD PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 31D2312436
  • Address: 1037 US HIGHWAY 46
    SUITE 103
    CLIFTON, NJ
    ZIP 07013
  • Phone: (973) 471-8852

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NPI Details

ADVANCED ANESTHESIA CARE MD PC is a specialist in Clifton, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ADVANCED ANESTHESIA CARE MD PC NPI is 1053514034. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1037 US HIGHWAY 46
SUITE 103
CLIFTON, NJ
ZIP 07013-451
Phone: (973) 471-8852
Fax: (973) 471-4685

The provider's authorized official is Tara Kowalewski .
The authorized official title is Billing Manager and has the following contact phone number (856) 753-0913.

The CLIA number assigned to this NPI record is 31D2312436 - other - outpt substance use serv with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/7/2007 and was last updated on 5/22/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist25MA03433700NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
111063MEDICARE PINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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