Individual provider Active NPI

Lauren Christine Bradley, CRNA

  • Certified Registered Nurse Anesthetist
  • Point Pleasant Beach, NJ
National Provider Identifier
1033760277
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
26NJ01017100 Issued in NJ
Practice address
1003 Boston Ave
Point Pleasant Beach, NJ 08742-3322
Phone
(732) 597-4251
NPI assigned
Sep 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Certified Registered Nurse Anesthetist 367500000X 26NJ01017100 NJ Primary

Addresses

Primary practice location

1003 Boston Ave
Point Pleasant Beach, NJ 08742-3322

Mailing address

1320 S Dixie Hwy
Coral Gables, FL 33146-2926
Phone (305) 284-2211

Other practice location 1

6841 SW 73rd Ct
Miami, FL 33143-2924
Phone (732) 597-4251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200415001962 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103256144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkway Anesthesia Associates LLCGroup PAC ID 2567758931, 313 clinicians

Practice addresses (Care Compare)

425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone (732) 840-2200

Hospital & facility affiliations

  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01017100NJMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia of New Jersey LLC CurrentSince Sep 18, 2021 Accepting new patients
Parkway Anesthesia Associates LLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

94 Old Short Hills Rd
Ste 1
Livingston, NJ 07039
Phone (973) 322-2800

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

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

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

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

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

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.

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": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1033760277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 S DIXIE HWY",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462926",
            "telephone_number": "305-284-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 BOSTON AVE",
            "city": "POINT PLEASANT BEACH",
            "state": "NJ",
            "postal_code": "087423322",
            "telephone_number": "732-597-4251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6841 SW 73rd Ct",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331432924",
            "country_code": "US",
            "telephone_number": "732-597-4251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "LAUREN",
        "middle_name": "CHRISTINE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NJ01017100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Point Pleasant Beach, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.