Provider Demographics
NPI:1669611737
Name:METRO ANESTHESIA OF NJ LLC
Entity type:Organization
Organization Name:METRO ANESTHESIA OF NJ LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ABBE
Authorized Official - Middle Name:J
Authorized Official - Last Name:CARNI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-703-5312
Mailing Address - Street 1:1270 FAYETTE AVE
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666
Mailing Address - Country:US
Mailing Address - Phone:201-703-5312
Mailing Address - Fax:
Practice Address - Street 1:1270 FAYETTE ST
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-2118
Practice Address - Country:US
Practice Address - Phone:201-703-5312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-13
Last Update Date:2009-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ149724207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty