Michelle Medina, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

26NJ00295000 Issued in NJ

Practice address

1 Cooper PLZ Dept of
Camden, NJ 08103-1461

Phone

(856) 342-2425

NPI assigned

Jul 6, 2010

Last updated

Jul 23, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Michelle Dellavalle Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Service Fund of Deborah- AnesthesiaGroup PAC ID 9133163504, 25 clinicians

Rwjbh Observation Associates LLCGroup PAC ID 5193137503, 995 clinicians

New Jersey Healthcare Specialists PCGroup PAC ID 2668385253, 570 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinitas Regional Medical Center Hospital, Elizabeth, NJ, CCN 310027
• Capital Health Medical Center - Hopewell Hospital, Pennington, NJ, CCN 310044
• Hackensack Meridian Mountainside Medical Hospital, Montclair, NJ, CCN 310054
• Deborah Heart and Lung Center Hospital, Browns Mills, NJ, CCN 310031
• Shore Medical Center Hospital, Somers Point, NJ, CCN 310047

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmedina192191@direct.cooperhealth.edu
• Direct secure messaging: mmedina425308@direct.ahsys.org

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.

• New Jersey Healthcare Specialists PC

  • Anesthesiology Physician
  • Hackensack, NJ
  • NPI 1174585780
  Medicare reassignment Care Compare group NPD
• Professional Service Fund of Deborah- Anesthesia

  • Specialist
  • Browns Mills, NJ
  • NPI 1902852015
  Medicare reassignment Care Compare group NPD
• Rwjbh Observation Associates LLC

  • Emergency Medicine Physician
  • Livingston, NJ
  • NPI 1760095806
  Medicare reassignment Care Compare group NPD
• Cooper Anesthesia Associates, PC

  • Anesthesiology Physician
  • Camden, NJ
  • NPI 1447207147
  Medicare reassignment NPD
• Parkway Anesthesia Associates LLC

  • Anesthesiology Physician
  • North Bergen, NJ
  • NPI 1518319755
  Medicare reassignment NPD
• Riverfront Intensivists

  • Critical Care Medicine (Internal Medicine) Physician
  • North Bergen, NJ
  • NPI 1639618424
  Medicare reassignment NPD
• Rutgers Health-RWJ Pediatric Critical Care

  • Family Medicine Physician
  • New Brunswick, NJ
  • NPI 1780766527
  Medicare reassignment NPD
• North American Partners in Anesthesia of New Jersey LLC

  • Anesthesiology Physician
  • Brick, NJ
  • NPI 1548433048
  NPD
• Professional Service Fund of Deborah Heart & Lung Center

  • Specialist
  • Browns Mills, NJ
  • NPI 1407803596
  NPD
• Rutgers Health-RWJ Pediatric Critical Care

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • New Brunswick, NJ
  • NPI 1346322732
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Capital Health System, Inc.

  dba Capital Health Medical Center - Hopewell

  • General Acute Care Hospital
  • Pennington, NJ
  • NPI 1073516183
  Care Compare affiliation
• Deborah Heart and Lung Center

  • General Acute Care Hospital
  • Browns Mills, NJ
  • NPI 1467440743
  Care Compare affiliation
• Montclair Hospital LLC

  dba HackensackUMC Mountainside

  • General Acute Care Hospital
  • Montclair, NJ
  • NPI 1982720249
  Care Compare affiliation
• Shore Memorial Hospital

  • General Acute Care Hospital
  • Somers Point, NJ
  • NPI 1629070149
  Care Compare affiliation
• Trinitas Regional Medical Center

  • General Acute Care Hospital
  • Elizabeth, NJ
  • NPI 1134129802
  Care Compare affiliation
• Trinitas Regional Medical Center

  dba Trinitas Hospital Medical Oncologists

  • Specialist
  • Elizabeth, NJ
  • NPI 1487697785

  Hospital

  Care Compare affiliation
• Trinitas Regional Medical Center

  • General Acute Care Hospital
  • Elizabeth, NJ
  • NPI 1770583999
  Care Compare affiliation
• Trinitas Regional Medical Center

  • General Acute Care Hospital
  • Elizabeth, NJ
  • NPI 1790785913
  Care Compare affiliation

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1124330329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ROUTE 59",
            "address_2": "SUITE 111",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014927",
            "telephone_number": "845-357-5775",
            "fax_number": "845-357-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COOPER PLZ DEPT OF",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031461",
            "telephone_number": "856-342-2425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Bay Ave",
            "address_2": "Anesthesia Office",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "NJ",
            "postal_code": "070424837",
            "country_code": "US",
            "telephone_number": "973-429-6219",
            "fax_number": "845-547-0740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Bowman Dr Fl 2",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439612",
            "country_code": "US",
            "telephone_number": "856-988-6260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "MICHELLE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-06",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "581615-1",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NJ00295000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmedina290880@directvirtua.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 Bowman Dr Fl 2",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "DELLAVALLE",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Karl William Medley Sr., M.ED.
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• Anita Mehrotra, M.D.
• Dhvanil Nileshkumar Mehta, M.D.

• Certified Registered Nurse Anesthetist in Camden, NJ
• Providers in Camden, NJ by specialty
• Certified Registered Nurse Anesthetist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.

Verify at the official NPI Registry.