Active NPI
Matthew Joseph Homishak, CRNA
- Certified Registered Nurse Anesthetist
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- L6-0A10940
- Practice address
- 4755 Ogletown Stanton Rd
Newark, DE 19718-9800 - Phone
- (302) 733-1000
- NPI assigned
- Mar 18, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN719847 | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | RN719847 | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | L6-0A10940 | DE | Primary |
Addresses
Primary practice location
4755 Ogletown Stanton Rd
Newark, DE 19718-9800
Mailing address
110 Clover Dr
Hockessin, DE 19707-1321
Phone (484) 894-6429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, DE
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220915001335 | PA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2062897812 | Reassigns benefits to 1 organization |
| I20231120002738 | DE | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2062897812 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anesthesia Services PA
Practice addresses (Care Compare)
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 733-1000
Hospital & facility affiliations
- Christiana Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN719847 | PA | MD | Registered Nurse |
| L6-0A10940 | DE | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Anesthesia Services PA | Current | Accepting new patients |
Locations
4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700
2600 Glasgow Ave
Ste 226
Newark, DE 19702
Phone (302) 836-3539
100 N Academy Ave
Danville, PA 17822
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Shamokin Dam, PA
- NPI 1518576412
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1003565078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 CLOVER DR",
"city": "HOCKESSIN",
"state": "DE",
"postal_code": "197071321",
"telephone_number": "484-894-6429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4755 OGLETOWN STANTON RD",
"city": "NEWARK",
"state": "DE",
"postal_code": "197189800",
"telephone_number": "302-733-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOMISHAK",
"first_name": "MATTHEW",
"middle_name": "JOSEPH",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-18",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN719847",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN719847",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "DE",
"license": "L6-0A10940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.