Active NPI
Eldine Ciceron
- Certified Registered Nurse Anesthetist
- Englewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 26NJ15372600
- Practice address
- 350 Engle St
Englewood, NJ 07631-1808 - Phone
- (845) 821-0058
- NPI assigned
- Jun 9, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 26NJ15372600 | NJ | Primary |
Addresses
Primary practice location
350 Engle St
Englewood, NJ 07631-1808
Mailing address
83 Somerset Dr
Suffern, NY 10901-6905
Phone (845) 821-0058
Other practice location 1
97 W Parkway
Pompton Plains, NJ 07444-1647
Phone (862) 248-8263
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250814003126 | NJ | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3870092166 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
350 Engle St
Englewood, NJ 07631-1808
Phone (201) 871-6073
Hospital & facility affiliations
- Englewood Hospital and Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ15372600 | NJ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Valley Anesthesiology, P.a. | Current | Accepting new patients | |
| Columbia School of Nursing | Past | Accepting new patients |
Locations
350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073
265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 500-1254
Organizations & group practices 2
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.
-
- Nursing Care Agency
- New York, NY
- NPI 1578240479
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1023747367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83 SOMERSET DR",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109016905",
"telephone_number": "845-821-0058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 ENGLE ST",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076311808",
"telephone_number": "845-821-0058"
}
],
"practiceLocations": [
{
"address_1": "97 W Parkway",
"address_purpose": "LOCATION",
"city": "Pompton Plains",
"state": "NJ",
"postal_code": "074441647",
"country_code": "US",
"telephone_number": "862-248-8263",
"fax_number": "973-831-5318",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CICERON",
"first_name": "ELDINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-09",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26NJ15372600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.