ADVANCED AMBULATORY ANESTHESIA, LLC
NPI 1063415990
Specialist in Wayne, NJ

Active since May 24, 2005
1176 HAMBURG TPKE, WAYNE, NJ 07470(862) 229-0559 Get Directions Write a Review

NPPES record last updated: April 29, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 27, 2019, Mar 11, 2018 (2 updates tracked since 2018).

About Advanced Ambulatory Anesthesia, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED AMBULATORY ANESTHESIA, LLC (NPI 1063415990) is a healthcare organization registered as a specialist in Wayne, New Jersey and active in the NPI registry since May 2005. The organization lists Michael A Reuveni, President, as its authorized official.

NPPES Registry Identity

NPI1063415990
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameADVANCED AMBULATORY ANESTHESIA, LLC
Location Address1176 HAMBURG TPKEWayne, NJ 07470-5054
Mailing AddressPo Box 343Midland Park, NJ 07432-0343 · (862) 229-0559
Organization SubpartNo
Authorized OfficialMichael A ReuveniPresident · (862) 229-0559
Enumeration DateMay 24, 2005
Last NPPES UpdateApril 29, 20202 updates tracked since enumeration
NPPES CertifiedApril 29, 2020
✔ NPI 1063415990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1176 HAMBURG TPKE, Wayne, NJ 07470

Other Identifiers 1

Medicaid8038309NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Ambulatory Anesthesia, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20040420000134Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

40

Medicare enrollment records show 40 clinicians reassign Medicare billing to Advanced Ambulatory Anesthesia, LLC, which bills Medicare for the services they deliver. Of these, 14 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Anesthesiology39
Pain Management1

Nearest to this location (20)

See all 40
Anesthesiology
NPI 1528061751
525 UNION BLVD
Totowa, NJ 07512
(973) 928-5360
✔ PECOS✔ Accepts Medicare4.4 mi
Anesthesiology
NPI 1588667711
525 UNION BLVD
Totowa, NJ 07512
(973) 928-5360
✔ PECOS✔ Accepts Medicare4.4 mi
Anesthesiology
NPI 1003819293
525 UNION BLVD
Totowa, NJ 07512
(973) 928-5360
✔ PECOS4.4 mi
Anesthesiology
NPI 1619970852
525 UNION BLVD
Totowa, NJ 07512
(973) 928-5360
✔ PECOS✔ Accepts Medicare4.4 mi
Anesthesiology
NPI 1710980867
525 UNION BLVD
Totowa, NJ 07512
(973) 928-5360
✔ PECOS✔ Accepts Medicare4.4 mi
Anesthesiology
NPI 1255492310
500 W MAIN ST
Wyckoff, NJ 07481
(201) 847-9320
✔ PECOS✔ Accepts Medicare4.9 mi
Anesthesiology
NPI 1235137787
703 MAIN ST
Paterson, NJ 07503
(973) 754-2790
✔ PECOS✔ Accepts Medicare5.8 mi
Pain Management
NPI 1164674024
1037 ROUTE 46 EAST SUITE G-5
Clifton, NJ 07013
(973) 928-5363
✔ PECOS✔ Accepts Medicare7.1 mi
Anesthesiology
NPI 1851476626
1200 E RIDGEWOOD AVE
Ridgewood, NJ 07450
(201) 444-4499
✔ PECOS✔ Accepts Medicare7.8 mi
Anesthesiology
NPI 1548351257
1515 BROAD ST STE B120
Bloomfield, NJ 07003
(973) 873-7000
✔ PECOS✔ Accepts Medicare8.9 mi
Anesthesiology
NPI 1235132440
350 BOULEVARD
Passaic, NJ 07055
(973) 365-4300
✔ PECOS✔ Accepts Medicare9.0 mi
Anesthesiology
NPI 1992708184
350 BOULEVARD
Passaic, NJ 07055
(973) 365-4300
✔ PECOS✔ Accepts Medicare9.0 mi
Anesthesiology
NPI 1437152501
350 BOULEVARD
Passaic, NJ 07055
(973) 365-4300
✔ PECOS9.0 mi
Anesthesiology
NPI 1649273707
350 BOULEVARD
Passaic, NJ 07055
(973) 365-4300
✔ PECOS✔ Accepts Medicare9.0 mi
Anesthesiology
NPI 1831353655
1 BAY AVE
Montclair, NJ 07042
(973) 429-6982
✔ PECOS✔ Accepts Medicare11 mi
Anesthesiology
NPI 1396986881
130 W PLEASANT AVE STE 334
Maywood, NJ 07607
(201) 527-6800
✔ PECOS✔ Accepts Medicare11 mi
Anesthesiology
NPI 1508885534
130 W PLEASANT AVE SUITE334
Maywood, NJ 07607
(201) 957-1090
✔ PECOS✔ Accepts Medicare11 mi
Anesthesiology
NPI 1295834174
ONE CLARA MAASS DR
Belleville, NJ 07109
(908) 653-9399
✔ PECOS13 mi
Anesthesiology
NPI 1194738708
1 CLARA MAASS DRIVE
Belleville, NJ 07109
(908) 653-9399
✔ PECOS✔ Accepts Medicare13 mi
Anesthesiology
NPI 1912082793
718 TEANECK RD
Teaneck, NJ 07666
(201) 342-1205
✔ PECOS✔ Accepts Medicare13 mi
See all 40 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Ambulatory Anesthesia, LLC's NPI number?

The NPI number for Advanced Ambulatory Anesthesia, LLC is 1063415990. It was assigned to this organization in the NPPES registry on May 24, 2005.

Where is Advanced Ambulatory Anesthesia, LLC located?

Advanced Ambulatory Anesthesia, LLC is located at 1176 Hamburg Tpke, Wayne, NJ 07470. The listed phone number is (862) 229-0559.

What is Advanced Ambulatory Anesthesia, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Advanced Ambulatory Anesthesia, LLC enrolled in Medicare?

Yes. Advanced Ambulatory Anesthesia, LLC is registered in the Medicare PECOS enrollment system.

When is Advanced Ambulatory Anesthesia, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Advanced Ambulatory Anesthesia, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 40 clinicians in 2 Medicare specialties reassign their Medicare billing to Advanced Ambulatory Anesthesia, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Anesthesiology (39) and Pain Management (1). Of these, 14 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Advanced Ambulatory Anesthesia, LLC accept?

Health plans from Oscar Health list Advanced Ambulatory Anesthesia, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advanced Ambulatory Anesthesia, LLC was last updated on April 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.