WINE ANESTHESIA, LLC
NPI 1407984255
Anesthesiology in Staten Island, NY
About Wine Anesthesia, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WINE ANESTHESIA, LLC (NPI 1407984255) is a healthcare organization registered as an anesthesiology in Staten Island, New York and active in the NPI registry since March 2007. The organization lists Lawrence Wine, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wine Anesthesia, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Wine Anesthesia, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (10)
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 Wine Anesthesia, LLC's NPI number?
The NPI number for Wine Anesthesia, LLC is 1407984255. It was assigned to this organization in the NPPES registry on March 2, 2007.
Where is Wine Anesthesia, LLC located?
Wine Anesthesia, LLC is located at 129 Slosson Ave, Staten Island, NY 10314. The listed phone number is (718) 720-5928.
What is Wine Anesthesia, LLC's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Wine Anesthesia, LLC enrolled in Medicare?
Yes. Wine Anesthesia, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wine Anesthesia, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Wine 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 (7) and Certified Registered Nurse Anesthetist (CRNA) (3). Of these, 1 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Wine Anesthesia, LLC was last updated on April 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Wine Anesthesia, Llc · NPI 1407984255
Anesthesiology organization in Staten Island, New York. Organization record, active in the CMS NPPES registry since March 2, 2007.
## Identity
- **NPI:** 1407984255 (Entity type: Organization)
- **Enumerated:** March 2, 2007
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **Organization subpart:** No
- **Authorized official:** Lawrence Wine, PRESIDENT
## Practice location
- **Address:** 129 SLOSSON AVE, Staten Island, NY 10314-2522
- **Phone:** (718) 720-5928
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Anesthesiology (7), Certified Registered Nurse Anesthetist (CRNA) (3); 1 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 23, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1407984255) · Data from the CMS NPPES public registry.