Active NPI
Jeannette A Blaha, CRNA
- Certified Registered Nurse Anesthetist
- Rocky Point, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 423503
- Practice address
- 333 Route 25a Ste 225
Rocky Point, NY 11778-8802 - Phone
- (631) 744-3671
- NPI assigned
- Sep 28, 2006
- Last updated
- Aug 18, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 423503-1 | NY | |
| Certified Registered Nurse Anesthetist | 367500000X | 423503 | NY | Primary |
Addresses
Primary practice location
333 Route 25a Ste 225
Rocky Point, NY 11778-8802
Mailing address
333 Route 25a Ste 225
Rocky Point, NY 11778-8802
Phone (631) 744-3671
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, DE
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- State University of Ny Upstate Medical University, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18941 John J Williams Hwy
Southern Delaware Surgery Center
Rehoboth Beach, DE 19971-4404
Phone (302) 644-6992
19161 Healthy Way
Rehoboth Beach, DE 19971-4491
Phone (302) 645-3300
424 Savannah Rd
Lewes, DE 19958-1462
Phone (302) 441-1078
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 423503-1 | NY | MD | Registered Nurse |
| 423503 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayhealth Medical Center, Inc. | Current | Accepting new patients | |
| North Shore - Lij Anesthesiology, PC | Current | Accepting new patients | |
| Bayhealth Medical Center, Inc. | Current | Accepting new patients | |
| Delaware Anesthesia Associates, PA | Current | Accepting new patients | |
| Bayhealth Medical Center, Inc | Current | Accepting new patients | |
| Long Island Anesthesia Physicians LLP | Current | Accepting new patients | |
| University Hospital at Stony Brook | Current | Accepting new patients | |
| University Physicians of Brooklyn, Inc | Past | Accepting new patients |
Locations
640 S State St
Dover, DE 19901
Phone (302) 744-4700
424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078
100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311
301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977
404 Potter Blvd
Brightwaters, NY 11718
Phone (631) 376-0055
560 Northern Blvd
Ste 203
Great Neck, NY 11021
Phone (516) 482-0600
195 E Main St
Huntington, NY 11743
Phone (631) 385-8677
2001 Marcus Ave
Ste N18
New Hyde Park, NY 11042
Phone (516) 775-7770
160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000
1110 Hallock Ave
Port Jefferson Station, NY 11776
Phone (631) 476-9100
200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000
75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320
333 Route 25A
Ste 225
Rocky Point, NY 11778
Phone (631) 503-1400
Interoperability endpoints
- jeannette.blaha1@direct.stonybrookmedicine.edu
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.
-
- Anesthesiology Physician
- Lewes, DE
- NPI 1578618930
-
- Anesthesiology Physician
- Rocky Point, NY
- NPI 1952387276
-
- Anesthesiology Physician
- Chappaqua, NY
- NPI 1417401266
-
dba Bayhealth Hospital, Sussex Campus
- General Acute Care Hospital
- Milford, DE
- NPI 1023006434
-
dba Bayhealth Hospital, Kent Campus
- General Acute Care Hospital
- Dover, DE
- NPI 1467546135
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
-
- Gastroenterology Physician
- Milford, DE
- NPI 1639938525
-
dba Downstate Health Physicians
- Anesthesiology Physician
- Brooklyn, NY
- NPI 1104878180
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lewes, DE
- NPI 1821196486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1104917491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 ROUTE 25A STE 225",
"city": "ROCKY POINT",
"state": "NY",
"postal_code": "117788802",
"telephone_number": "631-744-3671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 ROUTE 25A STE 225",
"city": "ROCKY POINT",
"state": "NY",
"postal_code": "117788802",
"telephone_number": "631-744-3671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAHA",
"first_name": "JEANNETTE",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "423503-1",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "423503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Point, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.