Individual provider Active NPI

Avrohom P Schwinder, CRNA, MS-SLP

  • Certified Registered Nurse Anesthetist
  • Staten Island, NY
National Provider Identifier
1023263373
Registry record updated Sep 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
686536 Issued in NY
Practice address
355 Bard Ave
Staten Island, NY 10310-1664
Phone
(718) 818-1234
NPI assigned
Nov 27, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 26NR17625800 NJ
Speech-Language Pathologist 235Z00000X 58017722 NY
Speech-Language Pathologist 235Z00000X 41YS00574800 NJ
Certified Registered Nurse Anesthetist 367500000X 26NJ01180100 NJ
Certified Registered Nurse Anesthetist 367500000X 686536 NY Primary

Addresses

Primary practice location

355 Bard Ave
Staten Island, NY 10310-1664

Mailing address

1502 August Dr
Lakewood, NJ 08701-3801
Phone (248) 318-1275

Other practice location 1

1502 August Dr
Lakewood, NJ 08701-3801
Phone (248) 318-1275

Other practice location 2

1305 Walt Whitman Rd Ste 300
Melville, NY 11747-4300
Phone (516) 945-3352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NJ, NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210730002155 CT Practitioner - Certified Registered Nurse Anesthetist (Crna) 3577966332 Reassigns benefits to 1 organization
I20210826001007 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 3577966332 Reassigns benefits to 3 organizations
I20240809003358 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 3577966332

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centurion Anesthesia Surgical Centers LLCGroup PAC ID 9537551254, 51 clinicians
Rwjbh Observation Associates LLCGroup PAC ID 5193137503, 995 clinicians
Canj Anesthesia LLCGroup PAC ID 6709278740, 75 clinicians

Practice addresses (Care Compare)

190 Midland Ave
Saddle Brook, NJ 07663-6408
Phone (718) 540-8600

201 Lyons Ave
Newark, NJ 07112-2027
Phone (973) 926-7000

55 Mdwlands Pkwy
Secaucus, NJ 07094-2977
Phone (917) 681-4963

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
9754CTMDClinical Social Worker
26NR17625800NJMDCritical Care Medicine Registered Nurse
41YS00574800NJMDSpeech-Language Pathologist
58017722NYMDSpeech-Language Pathologist
26NJ01180100NJMDCertified Registered Nurse Anesthetist
686536NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Woodland Anesthesia Associates PC CurrentSince Jul 1, 2021 Accepting new patients
North American Partners in Anesthesia of New Jersey LLC CurrentSince Nov 15, 2021 Accepting new patients
Rwjbh Observation Associates LLC CurrentSince Jun 17, 2023 Accepting new patients
Canj Anesthesia LLC CurrentSince May 30, 2023 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Aug 1, 2024 Accepting new patients
Centurion Anesthesia Surgical Centers LLC CurrentSince Jan 31, 2025 Accepting new patients

Locations

701 Cottage Grove Rd
Ste F230
Bloomfield, CT 06002
Phone (860) 243-5569

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

321 Essex St
Hackensack, NJ 07601
Phone (201) 692-9800

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

190 Midland Ave
Saddle Brook, NJ 07663
Phone (201) 549-9998

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

7 Southwoods Blvd
Ste 4
Albany, NY 12211

3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1227744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725148800000",
    "number": "1023263373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 AUGUST DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013801",
            "telephone_number": "248-318-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 BARD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101664",
            "telephone_number": "718-818-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1502 August Dr",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087013801",
            "country_code": "US",
            "telephone_number": "248-318-1275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1305 Walt Whitman Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Melville",
            "state": "NY",
            "postal_code": "117474300",
            "country_code": "US",
            "telephone_number": "516-945-3352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWINDER",
        "first_name": "AVROHOM",
        "middle_name": "P",
        "credential": "CRNA, MS-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-27",
        "last_updated": "2024-09-01",
        "certification_date": "2024-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NJ",
            "license": "26NR17625800",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "58017722",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00574800",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NJ01180100",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "686536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.

Verify at the official NPI Registry.