Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KONSTANTIN DATESHIDZE MD
NPI 1104873827
Anesthesiology in Browns Mills, NJ

Q: What is Konstantin Dateshidze's NPI number?

The NPI number for Konstantin Dateshidze is 1104873827. It was assigned to this individual provider in the NPPES registry on May 28, 2006.

Q: What is Konstantin Dateshidze's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Active since May 28, 2006

200 TRENTON RD, BROWNS MILLS, NJ 08015(609) 893-1200(609) 893-1213 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Konstantin Dateshidze Md NPPES

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

KONSTANTIN DATESHIDZE MD (NPI 1104873827) is an individual anesthesiology provider in Browns Mills, New Jersey, licensed in New Jersey (25MA04546400) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1104873827

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameKONSTANTIN DATESHIDZECredential: MD

Location Address200 TRENTON RDBrowns Mills, NJ 08015-1705

Mailing Address200 Trenton RdBrowns Mills, NJ 08015-1705 · (609) 893-1200 · Fax (609) 893-1213

Phone(609) 893-1200

Fax(609) 893-1213

Sole ProprietorNo

Enumeration DateMay 28, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1104873827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in NJ · 25MA04546400

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

200 TRENTON RD, Browns Mills, NJ 08015

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Other Identifiers 1

Medicaid0917907NJ

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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