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

Northeastern Anesthesia Institute LLC

Organization Specialist · NPI 1356891717

Northeastern Anesthesia Institute LLC is a Specialist in Clifton, New Jersey. Licensed in New Jersey. Registered with an NPI since 2016.

Licensed in
NJ
In the registry since
2016
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

1373 Broad St
Clifton, NJ 07013-4200
Phone: (201) 342-1205
Fax: (201) 342-1259
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 25MA06129800 (NJ)

Record details

NPI number1356891717
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tomislav Prvulovic — Sole Member · (201) 342-1205
NPI enumeratedOctober 10, 2016
Last updated in NPPESOctober 10, 2016
Mailing address1373 Broad St, Clifton, NJ 07013-4200

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