OrganizationActive
Advanced Ambulatory Anesthesia, LLC
NPI 1063415990 · Specialist · Wayne, NJ
Provider details
- NPI number
- 1063415990
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Michael Reuveni, President(862) 229-0559
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1176 Hamburg Tpke
Wayne, NJ 07470-5054
Phone: (862) 229-0559
Street-level locationGet directions
Mailing address
Po Box 343
Midland Park, NJ 07432-0343
Registry dates
- Enumerated
- 2005-05-24
- Last updated
- 2020-04-29
- Certified
- 2020-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.