Provider Demographics
NPI:1194778084
Name:EAST END ANESTHESIOLOGISTS LLC
Entity type:Organization
Organization Name:EAST END ANESTHESIOLOGISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:M
Authorized Official - Last Name:MULLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-726-8350
Mailing Address - Street 1:3500 SUNRISE HWY STE 200
Mailing Address - Street 2:
Mailing Address - City:GREAT RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:11739-1001
Mailing Address - Country:US
Mailing Address - Phone:631-907-2186
Mailing Address - Fax:631-201-3179
Practice Address - Street 1:265 HERRICK ROAD
Practice Address - Street 2:
Practice Address - City:SOUTHAMPTON
Practice Address - State:NY
Practice Address - Zip Code:11968-5045
Practice Address - Country:US
Practice Address - Phone:631-726-8350
Practice Address - Fax:631-726-8519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2291568OtherAETNA
NYAZ00709OtherMDNY HEALTHCARE INC
NY02181464Medicaid
NYA770073OtherOXFORD HEALTH PLANS
NY2291568OtherAETNA
NY=========OtherHORIZON HEALTHCARE OF NY
NY02181464Medicaid
NY=========OtherAFFINITY HEALTH PLAN
NYA770073OtherOXFORD HEALTH PLANS
NYW86001Medicare PIN