Individual provider Active NPI

Mary Greenhalgh, CRNA

  • Certified Registered Nurse Anesthetist
  • Trenton, NJ
National Provider Identifier
1063428936
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
07845100 Issued in NJ
Practice address
416 Bellevue Ave
Ste 104
Trenton, NJ 08618-4513
Phone
(609) 396-4700
NPI assigned
Jul 31, 2006
Last updated
Nov 1, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 07845100 NJ Primary

Addresses

Primary practice location

416 Bellevue Ave
Ste 104
Trenton, NJ 08618-4513

Mailing address

804 Scott Nixon Memorial Dr
Augusta, GA 30907-2464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ, FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050222000411 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0143273995
I20111202000056 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 0143273995 Reassigns benefits to 1 organization
I20191220000490 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0143273995 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Jersey Healthcare Specialists PCGroup PAC ID 2668385253, 570 clinicians

Practice addresses (Care Compare)

1 Capital Way
Pennington, NJ 08534-2520
Phone (800) 637-2374

901 W Main St
Freehold, NJ 07728-2537
Phone (732) 431-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
07845100NJMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Healthcare Specialists PC CurrentSince Apr 1, 2014 Accepting new patients
Sheridan Healthcorp, Inc. Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2023 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
St Lucie Anesthesia Associates LLC CurrentSince Nov 4, 2019 Accepting new patients
St. Lucie Anesthesia Associates, LLC CurrentSince Nov 4, 2019 Accepting new patients
Trenton Anesthesiology Associates PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Trenton Anesthesiology Associates PA Nurse Anesthetist, Certified Registered PastSince Oct 1, 2004 Accepting new patients

Locations

3995 NW Goldenrod Rd
Jensen Beach, FL 34957
Phone (772) 497-0020

2275 N Central Ave
Kissimmee, FL 34741
Phone (407) 570-0573

1796 US Highway 441 N
Okeechobee, FL 34972
Phone (863) 467-5222

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1063428936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SCOTT NIXON MEMORIAL DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309072464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 BELLEVUE AVE",
            "address_2": "STE 104",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086184513",
            "telephone_number": "609-396-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENHALGH",
        "first_name": "MARY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "07845100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.