Unknown Individual – Anesthesiology Physician, NPI 1922014612
Anesthesiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
11781, Lee Jackson Memorial Highway, Fairfax Farms, Fair Oaks, Fairfax (city), Virginia, 22033, United States
SUITE 550
FAIRFAX, VA 220333309
Phone: (571) 777-5157
Fax: (703) 890-2650
Type: Mailing
Clara Maass Medical Center, 1, Clara Maass Drive, Belleville, Essex County, New Jersey, 07109, United States
BELLEVILLE, NJ 071093550
Phone: (973) 450-2000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22033)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | NJ | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 37 | 37 |
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