Individual provider Active NPI

Tynai Musaev

  • Certified Registered Nurse Anesthetist
  • Plainfield, NJ
National Provider Identifier
1124612304
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
26NJ01174000 Issued in NJ
Practice address
1400 South Ave Apt 431
Plainfield, NJ 07062-1970
Phone
(917) 374-0485
NPI assigned
Feb 27, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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 26NJ01174000 NJ Primary

Addresses

Primary practice location

1400 South Ave Apt 431
Plainfield, NJ 07062-1970

Mailing address

1400 South Ave Apt 431
Plainfield, NJ 07062-1970
Phone (917) 374-0485

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210914003909 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 9830595966 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Jersey Healthcare Specialists PCGroup PAC ID 2668385253, 570 clinicians

Practice addresses (Care Compare)

1 Bay Ave
Montclair, NJ 07042-4837
Phone (973) 429-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01174000NJMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Parkway Anesthesia Associates LLC CurrentSince Nov 5, 2024 Accepting new patients
North American Partners in Anesthesia of New Jersey LLC CurrentSince Aug 1, 2021 Accepting new patients
New Jersey Healthcare Specialists PC CurrentSince Jul 1, 2022 Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

94 Old Short Hills Rd
Ste 1
Livingston, NJ 07039
Phone (973) 322-2800

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

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

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 2

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": "1614384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1124612304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SOUTH AVE APT 431",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070621970",
            "telephone_number": "917-374-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SOUTH AVE APT 431",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070621970",
            "telephone_number": "917-374-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSAEV",
        "first_name": "TYNAI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-27",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NJ01174000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.