Individual provider Active NPI

James Missig, CRNA

  • Certified Registered Nurse Anesthetist
  • Bay Shore, NY
National Provider Identifier
1093819484
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
446026-1 Issued in NY
Practice address
5 5TH Ave
Suite 1
Bay Shore, NY 11706-7368
Phone
(631) 277-1803
Fax
(631) 581-0015
NPI assigned
Sep 7, 2006
Last updated
Aug 13, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2009

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 446026-1 NY Primary

Addresses

Primary practice location

5 5TH Ave
Suite 1
Bay Shore, NY 11706-7368

Mailing address

5 5TH Ave
Suite 1
Bay Shore, NY 11706-7368
Phone (631) 277-1803

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031118000487 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668386285 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lighthouse Endoscopy PCGroup PAC ID 3072892975, 8 clinicians
Quality Medical Management CorpGroup PAC ID 5799193074, 27 clinicians
Mark J Coronel MD PCGroup PAC ID 5890958979, 7 clinicians
Advanced Gastroenterology and Endoscopy PCGroup PAC ID 9537219753, 4 clinicians

Practice addresses (Care Compare)

1092 Jericho Tpke
Suite 2S
Commack, NY 11725-3016
Phone (631) 543-8660

1110 Hallock Ave
Port Jefferson Station, NY 11776-1210
Phone (631) 476-9100

383 N Sunrise Service Rd
Suite 2
Manorville, NY 11949-9603
Phone (631) 591-3000

70 N Country Rd
Suite 201
Port Jefferson, NY 11777-2161
Phone (631) 331-0200

711 Stewart Ave
Suite 114
Garden City, NY 11530-4719
Phone (516) 227-3254

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
446026-1NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Jun 1, 2024 Accepting new patients
Quality Medical Management Corp Nurse Anesthetist, Certified Registered CurrentSince May 1, 2021 Accepting new patients
Long Island Digestive Endoscopy Center, LLC CurrentSince Nov 22, 2021 Accepting new patients
North Shore Digestive Medicine PC CurrentSince Jan 10, 2024 Accepting new patients
North Shore - Lij Anesthesiology, PC CurrentSince Nov 1, 2017 Accepting new patients
Brookhaven Gastroenterology Associates, P.C. CurrentSince Jan 21, 2023 Accepting new patients
Mark J Coronel MD PC CurrentSince Jan 10, 2024 Accepting new patients
Twin Forks Medical PC CurrentSince Oct 5, 2021 Accepting new patients
New York University Current Accepting new patients
Gastroenterology & Liver Disease, PC CurrentSince Feb 1, 2024 Accepting new patients
New York University CurrentSince Jun 1, 2024 Accepting new patients
Frank Dolisi, M.D. P.C. Past Accepting new patients
Sure Way Medical Testing PLLC Past Accepting new patients
Quality Anesthesia Associates LLC Past Accepting new patients
Sandman Certified Registered Nurse Anesthetist, P.C. Nurse Anesthetist, Certified Registered Past Accepting new patients
East End Gastroenterology PLLC PastSince Jan 1, 2023 Accepting new patients
Long Island Anesthesia Physicians LLP Past Accepting new patients
Morton Schwartz MD PC Past Accepting new patients

Locations

160 Howells Rd
Ste 16
Bay Shore, NY 11706
Phone (631) 446-1190

301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977

11 E Fordham Rd
Ste A
Bronx, NY 10468
Phone (631) 446-1190

260 Patchogue Yaphank Rd
Ste C
East Patchogue, NY 11772
Phone (631) 289-0300

260 Patchogue Yaphank Rd
Ste D
East Patchogue, NY 11772

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

10721 Queens Blvd
Ste 4
Forest Hills, NY 11375
Phone (718) 520-0857

560 Northern Blvd
Ste 203
Great Neck, NY 11021
Phone (516) 482-0600

900 Northern Blvd
#T
Great Neck, NY 11021
Phone (516) 466-0778

201 Manor Pl
Greenport, NY 11944
Phone (631) 477-1000

332 W Montauk Hwy
Ste 1
Hampton Bays, NY 11946
Phone (631) 723-0600

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308

1324 Motor Pkwy
Ste 101
Islandia, NY 11749
Phone (516) 850-8143

3636 33rd St
Ste 204
Long Island City, NY 11106
Phone (631) 446-1190

383 N Sunrise Service Rd
Ste 2
Manorville, NY 11949
Phone (631) 591-3000

300 Old Country Rd
Fl 4
Mineola, NY 11501
Phone (516) 747-9232

2001 Marcus Ave
Ste N18
New Hyde Park, NY 11042
Phone (516) 775-7770

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

1110 Hallock Ave
Port Jefferson Station, NY 11776
Phone (631) 476-9100

1500 Route 112
Bldg 5
Port Jefferson Station, NY 11776
Phone (631) 470-1450

1149 Old Country Rd
Riverhead, NY 11901
Phone (631) 727-3000

50 Route 111
Ste 302
Smithtown, NY 11787
Phone (631) 724-1178

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4303/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/CFBACA
  • Direct secure messaging: james.missig.1@4303.direct.athenahealth.com

Organizations & group practices 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250121600000",
    "number": "1093819484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 5TH AVE",
            "address_2": "SUITE 1",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067368",
            "telephone_number": "631-277-1803",
            "fax_number": "631-581-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 5TH AVE",
            "address_2": "SUITE 1",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067368",
            "telephone_number": "631-277-1803",
            "fax_number": "631-581-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISSIG",
        "first_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2009-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "446026-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; 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.