Active NPI
Craig Passmore
- Anesthesiology Physician
- Brooklyn, NY
National Provider Identifier
1124046255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 196992
- Practice address
- 121 Dekalb Ave
Brooklyn, NY 11201-5425 - Phone
- (718) 250-8848
- Fax
- (718) 250-8850
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 196992 | NY | |
| Anesthesiology Physician | 207L00000X | 196992 | NY | Primary |
Addresses
Primary practice location
121 Dekalb Ave
Brooklyn, NY 11201-5425
Mailing address
121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone (718) 250-8848
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01828564 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- State University of Ny Upstate Medical University, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8900 Van Wyck Expy
Jamaica, NY 11418-2832
Phone (718) 206-6088
Hospital & facility affiliations
- Jamaica Hospital Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 196992 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jamaica Anesthesiologist, PC | Anesthesiology | Current | Accepting new patients |
| TBHC Anesthesiology Services, PC | Specialist | Past | Accepting new patients |
| CMC Radiological Services PC | Past | Accepting new patients | |
| Judah Schorr MD PC | Anesthesiology | Past | Accepting new patients |
| Boulevard Anesthesia Associates, PC | Anesthesiology | Past | Accepting new patients |
| Saint Vincents Catholic Medical Centers of New York | Past | Accepting new patients |
Locations
8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Jamaica, NY
- NPI 1508812892
-
- Anesthesiology Physician
- Elmhurst, NY
- NPI 1295770196
-
- Diagnostic Radiology Physician
- Jamaica, NY
- NPI 1285780502
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1528160421
-
- Primary Care Clinic/Center
- Garden City, NY
- NPI 1790010817
-
- Specialist
- Brooklyn, NY
- NPI 1073546073
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richmond Hill, NY
- NPI 1245370717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708905600000",
"number": "1124046255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 DEKALB AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015425",
"telephone_number": "718-250-8848",
"fax_number": "718-250-8850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 DEKALB AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015425",
"telephone_number": "718-250-8848",
"fax_number": "718-250-8850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASSMORE",
"first_name": "CRAIG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "196992",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "196992",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01828564",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.