Provider Demographics
NPI:1548631492
Name:ANESTHESIA PHYSICIANS MEDICAL GROUP OF NEW JERSEY LLC
Entity type:Organization
Organization Name:ANESTHESIA PHYSICIANS MEDICAL GROUP OF NEW JERSEY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR/MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:K
Authorized Official - Last Name:RAMNANAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD,DABPM
Authorized Official - Phone:201-760-9200
Mailing Address - Street 1:PO BOX 602
Mailing Address - Street 2:
Mailing Address - City:SADDLE RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07458-0602
Mailing Address - Country:US
Mailing Address - Phone:201-483-8966
Mailing Address - Fax:201-483-8967
Practice Address - Street 1:30 W CENTURY RD
Practice Address - Street 2:SUITE 220
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-1433
Practice Address - Country:US
Practice Address - Phone:201-483-8966
Practice Address - Fax:201-483-8967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-16
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty