Active NPI
Andria Renae Janos, CRNA
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
National Provider Identifier
1114220696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN549919
- Practice address
- 3401 Civic Center Blvd Ste 9329
Philadelphia, PA 19104-4319 - Phone
- (215) 590-1858
- Fax
- (215) 590-1415
- NPI assigned
- Dec 6, 2010
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | CCNA086945 | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | RN549919 | PA | Primary |
Addresses
Primary practice location
3401 Civic Center Blvd Ste 9329
Philadelphia, PA 19104-4319
Mailing address
100 East Penn Square
The Wanamaker Building, 9TH Floor, North
Philadelphia, PA 19107-3323
Phone (267) 425-9300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206092EJL | Other | PA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CCNA086945 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Anesthesiology Associates, LTD | Current | Accepting new patients | |
| Children'S Anesthesiology Associates, LTD | Current | Accepting new patients |
Locations
100 E Penn Sq
Bldg 9TH
Philadelphia, PA 19107
Phone (267) 425-9538
3401 Civic Center Blvd
Ste 9329
Philadelphia, PA 19104
Phone (267) 425-9300
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.
-
- Pediatric Anesthesiology Physician
- Philadelphia, PA
- NPI 1689779480
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1942213525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1114220696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 EAST PENN SQUARE",
"address_2": "THE WANAMAKER BUILDING, 9TH FLOOR, NORTH",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191073323",
"telephone_number": "267-425-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 CIVIC CENTER BLVD STE 9329",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044319",
"telephone_number": "215-590-1858",
"fax_number": "215-590-1415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANOS",
"first_name": "ANDRIA",
"middle_name": "RENAE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-06",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "CCNA086945",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN549919",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "206092EJL",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.