Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Northeast Anesthesia Group, LLC

Organization Anesthesiology Physician · NPI 1356625404

Northeast Anesthesia Group, LLC is an Anesthesiology Physician in North Bergen, New Jersey. Licensed in New Jersey. Registered with an NPI since 2011.

Licensed in
NJ
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9226 Kennedy Blvd Unit A
North Bergen, NJ 07047-5312
Phone: (201) 339-6971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 25MA06277300 (NJ)

Record details

NPI number1356625404
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Bussanich — President · (201) 313-4650
NPI enumeratedOctober 7, 2011
Last updated in NPPESOctober 7, 2011
Mailing addressPo Box 79, Bayonne, NJ 07002

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