Individual provider Active NPI

Joshua Anthony Cangcuesta

  • Certified Registered Nurse Anesthetist
  • Melville, NY
National Provider Identifier
1124560305
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
115416 Issued in NY
Practice address
68 S Service Rd
Suite 350
Melville, NY 11747-2354
Phone
(516) 945-3000
Fax
(516) 945-3131
NPI assigned
Nov 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 627617 NY
Certified Registered Nurse Anesthetist 367500000X 115416 NY Primary

Addresses

Primary practice location

68 S Service Rd
Suite 350
Melville, NY 11747-2354

Mailing address

1631 Powers Ave
East Meadow, NY 11554-3821

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170112001531 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113209818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
State University of New York Downstate Medical Center, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ramapo Anesthesiologists, PCGroup PAC ID 3476444373, 78 clinicians

Practice addresses (Care Compare)

Suffern, NY 10901
Phone (845) 357-5775

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
627617NYMDRegistered Nurse
115416NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ramapo Anesthesiologists, PC CurrentSince Jan 30, 2023 Accepting new patients
North American Partners in Anesthesia Connecticut PC CurrentSince Jul 30, 2018 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Jan 6, 2017 Accepting new patients

Locations

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

50 Hospital Hill Rd
Sharon, CT 06069
Phone (860) 364-4000

7 Southwoods Blvd
Ste 4
Albany, NY 12211

3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

68 Harris Bushville Rd
Monticello, NY 12701
Phone (845) 897-6053

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

974 Route 45
Ste 2000
Pomona, NY 10970
Phone (845) 354-3700

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

233 Lafayette Ave
Ste LL5
Suffern, NY 10901
Phone (914) 794-7741

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

15 Maple Ave
Warwick, NY 10990
Phone (845) 986-2224

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1478304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1124560305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 POWERS AVE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115543821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 S SERVICE RD",
            "address_2": "SUITE 350",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472354",
            "telephone_number": "516-945-3000",
            "fax_number": "516-945-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANGCUESTA",
        "first_name": "JOSHUA",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-05",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "627617",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "115416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.