Provider Demographics
NPI:1700860327
Name:NEW YORK-NEW JERSEY ANESTHESIA ASSOCIATED, PLLC
Entity Type:Organization
Organization Name:NEW YORK-NEW JERSEY ANESTHESIA ASSOCIATED, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:S
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-794-0833
Mailing Address - Street 1:PO BOX 48180
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07101-4800
Mailing Address - Country:US
Mailing Address - Phone:201-804-2800
Mailing Address - Fax:
Practice Address - Street 1:132 E 76TH ST
Practice Address - Street 2:SUITE 2 G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-2850
Practice Address - Country:US
Practice Address - Phone:212-794-0833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty