Individual provider Active NPI

Alexander Matthew Pugliese, CRNA

  • Certified Registered Nurse Anesthetist
  • Havertown, PA
National Provider Identifier
1124001847
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN547143 Issued in PA
Practice address
2010 W Chester Pike
Suite 330
Havertown, PA 19083-2700
Phone
(610) 789-8070
Fax
(610) 789-9937
NPI assigned
Nov 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 RN547143 PA Primary

Addresses

Primary practice location

2010 W Chester Pike
Suite 330
Havertown, PA 19083-2700

Mailing address

PO Box 1250
Havertown, PA 19083-5850
Phone (610) 789-8070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060207000701 DE Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274548649 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN547143PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Delaware, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 23, 2023 Accepting new patients
Delaware Center for Digestive Care LLC CurrentSince Jul 1, 2016 Accepting new patients
Pinnacle Mid-Atlantic Anesthesia Associates PC Nurse Anesthetist, Certified Registered PastSince Mar 7, 2011 Accepting new patients
Pinnacle Mid-Atlantic Pain Medicine, PC Past Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

4923 Stanton Ogletown Rd
Newark, DE 19713
Phone (302) 993-0310

537 Stanton Christiana Rd
Ste 203
Newark, DE 19713
Phone (302) 225-2380

4923 Ogletown Stanton Rd
Ste 100
Newark, DE 19713
Phone (302) 225-2380

4745 Ogletown Stanton Rd
Ste 134
Newark, DE 19713
Phone (302) 452-3000

701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100

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.

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124001847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1250",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190835850",
            "telephone_number": "610-789-8070",
            "fax_number": "610-789-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 W CHESTER PIKE",
            "address_2": "SUITE 330",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832700",
            "telephone_number": "610-789-8070",
            "fax_number": "610-789-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGLIESE",
        "first_name": "ALEXANDER",
        "middle_name": "MATTHEW",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN547143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.

Verify at the official NPI Registry.