Organization
NORTHERN VALLEY ANESTHESIOLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY A WEISS MD (PRESIDENT)
(561) 623-2000
Entity
Organization
Contact information
Practice address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
(201) 871-6073
(201) 871-0619
Mailing address
7111 FAIRWAY DR, SUITE 450, PALM BEACH GARDENS, FL 33418-4204
(561) 623-2000
(865) 291-3612
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01357648
NEW YORK STATE MEDICAID
NY
05
—
2547406
—
NJ
01
—
CM1039
RAILROAD MEDICARE
NJ
Enumeration date
05/07/2006
Last updated
05/07/2019
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