Provider Demographics
NPI:1437105830
Name:ARC ANESTHESIA, P.C.
Entity Type:Organization
Organization Name:ARC ANESTHESIA, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:CERRATO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:856-914-1124
Mailing Address - Street 1:PO BOX 1025
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-6025
Mailing Address - Country:US
Mailing Address - Phone:856-914-1124
Mailing Address - Fax:856-914-1125
Practice Address - Street 1:907 N MAIN RD
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-8200
Practice Address - Country:US
Practice Address - Phone:856-692-3309
Practice Address - Fax:856-692-4155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ91001997800OtherAMERICHOICE GROUP ID
NJ2693501000OtherAMERIHEALTH PPO GROUPID
NJ009875Medicaid
NJ009875Medicaid
NJY0256Medicare UPIN