Active NPI
Gustaaf Cornelis Van Soestbergen, CRNA MSN MPA
- Certified Registered Nurse Anesthetist
- Cheektowaga, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 173
- Practice address
- 2568 Walden Ave Ste 103-105
Cheektowaga, NY 14225-4760 - Phone
- (716) 632-1088
- NPI assigned
- Sep 1, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 397403 | NY | |
| Certified Registered Nurse Anesthetist | 367500000X | 086274-23 | NH | |
| Certified Registered Nurse Anesthetist | 367500000X | 173 | NC | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 0105995 | NC |
Addresses
Primary practice location
2568 Walden Ave Ste 103-105
Cheektowaga, NY 14225-4760
Mailing address
2568 Walden Ave Ste 103-105
Cheektowaga, NY 14225-4760
Phone (716) 632-1088
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NAN754 | Medicaid | SC | |
| 8052174 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, NH, NY
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 High St
Buffalo, NY 14203-1126
Phone (716) 632-1088
1540 Maple Rd
Williamsville, NY 14221-3647
Phone (716) 632-1088
875 Ellicott St
Gates Vascular Institute
Buffalo, NY 14203-1070
Phone (716) 632-1088
Hospital & facility affiliations
- Kaleida Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 173 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 0105995 | NC | MD | Certified Registered Nurse Anesthetist |
| 086274-23 | NH | MD | Certified Registered Nurse Anesthetist |
| 397403 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maple Gate Anesthesiologists, P.C. | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients | |
| Novant Health New Hanover Regional Medical Center LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| East Carolina Anesthesia Associates, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| CHS Anesthesia Services Group Inc | Current | Accepting new patients | |
| Novant Health New Hanover Regional Medical Center LLC | Current | Accepting new patients | |
| Mercy Hospital, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000
2825 Randolph Rd
Charlotte, NC 28211
Phone (704) 377-1647
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140
2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000
105 Scotts Hill Medical Dr
Wilmington, NC 28411
Phone (910) 686-2840
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
2568 Walden Ave
Ste 103105
Cheektowaga, NY 14225
Phone (716) 632-7842
2568 Walden Ave
Ste 103
Cheektowaga, NY 14225
1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514
30 S Cayuga Rd
Williamsville, NY 14221
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Cheektowaga, NY
- NPI 1528072709
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1346649415
-
- Internal Medicine Physician
- Lebanon, NH
- NPI 1548210198
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Wilmington, NC
- NPI 1750978839
Nurse Anesthetist, Certified Registered
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Wilmington, NC
- NPI 1932958584
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1801961875
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Williamsville, NY
- NPI 1053441907
-
- General Acute Care Hospital
- North Tonawanda, NY
- NPI 1104956358
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1245365196
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1366473183
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1831229780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778284800000",
"number": "1033211131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2568 WALDEN AVE STE 103-105",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142254760",
"telephone_number": "716-632-1088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2568 WALDEN AVE STE 103-105",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142254760",
"telephone_number": "716-632-1088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN SOESTBERGEN",
"first_name": "GUSTAAF",
"middle_name": "CORNELIS",
"name_prefix": "Mr.",
"credential": "CRNA MSN MPA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2026-05-09",
"certification_date": "2026-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "397403",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NH",
"license": "086274-23",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "173",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "0105995",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NAN754",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8052174",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cheektowaga, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.