Deirdre A Davis, C.R.N.A.

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

26NJ00224100 Issued in NJ

Practice address

1140 Route 72 W
Manahawkin, NJ 08050

Phone

(609) 597-6011

NPI assigned

Jun 27, 2005

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

98.3 of 100Reported as group

Promoting interoperability

98

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24721/brand/1/csg/1/fhir/r4

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.

• Allied Digestive Health, LLC

  • Gastroenterology Physician
  • West Long Beach, NJ
  • NPI 1265831259
  Medicare reassignment NPD
• Rwjbh Emergency Medicine Associates, LLC

  • Emergency Medicine Physician
  • Somerset, NJ
  • NPI 1912510041
  Medicare reassignment NPD
• Shrewsbury Ambulatory Anesthesia LLC

  • Anesthesiology Physician
  • Shrewsbury, NJ
  • NPI 1356691885
  Medicare reassignment NPD
• Atlantic Coast Gastroenterology Associates

  • Gastroenterology Physician
  • Brick, NJ
  • NPI 1679512578
  NPD (past)
• Toms River Anesthesia Associates PC

  • Anesthesiology Physician
  • Toms River, NJ
  • NPI 1518902956
  NPD (past)
• North American Partners in Anesthesia LLP

  • Anesthesiology Physician
  • Melville, NY
  • NPI 1649264706
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1003812819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077540307",
            "fax_number": "732-897-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 ROUTE 72 W",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "08050",
            "telephone_number": "609-597-6011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Community Dr",
            "address_purpose": "LOCATION",
            "city": "Manhasset",
            "state": "NY",
            "postal_code": "110303816",
            "country_code": "US",
            "telephone_number": "732-897-0200",
            "fax_number": "732-897-0263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DEIRDRE",
        "middle_name": "A",
        "credential": "C.R.N.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "356194",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "356194-1",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NJ00224100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David J D'Ambrosio, MD
• Christina D'Amodio, OTR/L
• Rama Dahal, M.D.
• Candalynne Datz, BA
• David Gamache (Oceanside Dentistry)
• Daytop Village of New Jersey, Inc.
• Daytop Village of New Jersey, Inc.
• Daytop Village of New Jersey, Inc.
• Theresa Anne Del Valle, RPH.
• Michael Delrosario, M.D.

• Certified Registered Nurse Anesthetist in Manahawkin, NJ
• Providers in Manahawkin, NJ by specialty
• Certified Registered Nurse Anesthetist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.

Verify at the official NPI Registry.