Provider Demographics
NPI:1003504804
Name:AMAZINGANESTHESIA PC
Entity Type:Organization
Organization Name:AMAZINGANESTHESIA PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:EZROKHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-396-6282
Mailing Address - Street 1:PO BOX 61
Mailing Address - Street 2:
Mailing Address - City:SADDLE RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07458-0061
Mailing Address - Country:US
Mailing Address - Phone:201-396-6282
Mailing Address - Fax:
Practice Address - Street 1:187 W SADDLE RIVER RD
Practice Address - Street 2:
Practice Address - City:SADDLE RIVER
Practice Address - State:NJ
Practice Address - Zip Code:07458-2635
Practice Address - Country:US
Practice Address - Phone:201-396-6282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMAZINGANESTHESIA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-28
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty