Active NPI
Gregory Makris, CRNA
- Certified Registered Nurse Anesthetist
- Mount Holly, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 26NJ00215000
- Practice address
- 175 Madison Ave FL 1
Mount Holly, NJ 08060-2099 - Phone
- (609) 914-6000
- NPI assigned
- Jan 2, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 26NO06610700 | NJ | |
| Certified Registered Nurse Anesthetist | 367500000X | 26NJ00215000 | NJ | Primary |
Addresses
Primary practice location
175 Madison Ave FL 1
Mount Holly, NJ 08060-2099
Mailing address
700 US RT 130 N
Suite 203
Cinnaminson, NJ 08077
Phone (856) 829-9345
Other practice location 1
175 Madison Ave Fl 1
Mount Holly, NJ 08060-2099
Phone (609) 914-6000
Other practice location 2
218A Sunset Rd
Willingboro, NJ 08046-1110
Phone (609) 835-3069
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gmakris111480@directvirtua.org | ||
| Direct Messaging Address | gmakris111480@directvirtua.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110315000122 | NJ | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5890977797 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
175 Madison Ave
Mount Holly, NJ 08060-2038
218 Sunset Rd
FL 5
Willingboro, NJ 08046-1110
Phone (609) 444-0359
3242 Route 206
Bordentown, NJ 08505-4517
Hospital & facility affiliations
- Virtua Mount Holly Hospital
- Virtua Willingboro Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.15 of 100
- Quality
- 62.28
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00215000 | NJ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Morris Anesthesia Group, PA | Past | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660
175 Madison Ave
Fl 1
Mount Holly, NJ 08060
Phone (609) 914-6000
218A Sunset Rd
Willingboro, NJ 08046
Phone (609) 835-2900
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
NJ, Nurse Anesthetist, Certified Registered
-
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
-
- Foot & Ankle Surgery Podiatrist
- Marlton, NJ
- NPI 1902356215
-
- Anesthesiology Physician
- Parsippany, NJ
- NPI 1194728501
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mount Holly, NJ
- NPI 1134125016
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1104983162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 US RT 130 N",
"address_2": "SUITE 203",
"city": "CINNAMINSON",
"state": "NJ",
"postal_code": "08077",
"telephone_number": "856-829-9345",
"fax_number": "856-829-0580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 MADISON AVE FL 1",
"city": "MOUNT HOLLY",
"state": "NJ",
"postal_code": "080602099",
"telephone_number": "609-914-6000"
}
],
"practiceLocations": [
{
"address_1": "175 Madison Ave Fl 1",
"address_purpose": "LOCATION",
"city": "Mount Holly",
"state": "NJ",
"postal_code": "080602099",
"country_code": "US",
"telephone_number": "609-914-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "218A Sunset Rd",
"address_purpose": "LOCATION",
"city": "Willingboro",
"state": "NJ",
"postal_code": "080461110",
"country_code": "US",
"telephone_number": "609-835-3069",
"fax_number": "856-829-0580",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAKRIS",
"first_name": "GREGORY",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NO06610700",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26NJ00215000",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gmakris111480@directvirtua.org",
"affiliation": "N",
"address_1": "175 Madison Ave Fl 1",
"city": "Mount Holly",
"state": "NJ",
"country_code": "US",
"postal_code": "080602099",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gmakris111480@directvirtua.org",
"affiliation": "N",
"address_1": "218A Sunset Rd",
"city": "Willingboro",
"state": "NJ",
"country_code": "US",
"postal_code": "080461110",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mount Holly, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.