# PROFESSIONAL ANESTHESIOLOGY SERVICES, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801832282
- **Authorized official:** MR. SAM RAO (BUSINESS MANAGER)
- **Authorized official phone:** (973) 779-7361

## Contact information

- **Practice address:** 211 PENNINGTON AVE, PASSAIC, NJ 07055-4617
- **Practice address phone:** (973) 470-3598
- **Practice address fax:** (973) 470-3548
- **Mailing address:** PO BOX 458, FAIR LAWN, NJ 07410-0458
- **Mailing address phone:** (973) 779-7361
- **Mailing address fax:** (973) 779-7385

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/22/2006
- **Last updated:** 09/11/2025