Individual provider Active NPI

John E Kresge, CRNA

  • Certified Registered Nurse Anesthetist
  • Somerset, NJ
National Provider Identifier
1144226093
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
048901 Issued in PA
Practice address
285 Davidson Ave Ste 204
Somerset, NJ 08873-4153
Phone
(732) 271-1400
Fax
(732) 271-3544
NPI assigned
Jun 24, 2005
Last updated
Jul 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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 RN-324043-L PA
Certified Registered Nurse Anesthetist 367500000X 048901 PA Primary

Addresses

Primary practice location

285 Davidson Ave Ste 204
Somerset, NJ 08873-4153

Mailing address

434 Daniel St
Allentown, PA 18104-8512
Phone (610) 530-1891

Other practice location 1

3639 E View Dr
Orefield, PA 18069-2034
Phone (610) 428-1544

Other identifiers 9

IdentifierTypeStateIssuer
1337989OtherPAHIGHMARK
1337989OtherPAFIRST PRIORITY
11453892OtherPACAQH
0018603100007MedicaidPA
2030781000OtherPAIBC
50026714OtherPACAPITAL ADVANTAGE
77537OtherPAGEISINGER
7312259OtherPAAETNA
1544464OtherPAGATEWAY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031126000231 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648174086 Reassigns benefits to 3 organizations
I20190805002090 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648174086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rwjbh Observation Associates LLCGroup PAC ID 5193137503, 995 clinicians
Professional Anesthesia Services of North America PCGroup PAC ID 1658698824, 49 clinicians
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

110 Rehill Ave
Somerville, NJ 08876-2519
Phone (908) 685-2200

1503 N Cedar Crest Blvd
Allentown, PA 18104-2310
Phone (610) 861-8080

2310 Highland Ave
Bethlehem, PA 18020-8920
Phone (610) 861-8080

2752 Century Blvd
Wyomissing, PA 19610-3345
Phone (610) 378-8807

330 Main St
Dickson City, PA 18519-1691
Phone (610) 402-6164

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN-324043-LPAMDRegistered Nurse
048901PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Feb 3, 2024 Accepting new patients
Lehigh Valley Physician Group CurrentSince Feb 3, 2024 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Lehigh Valley Anesthesia Services, P. C. Nurse Anesthetist, Certified Registered CurrentSince Nov 17, 2003 Accepting new patients
Rwjbh Observation Associates LLC CurrentSince Aug 21, 2022 Accepting new patients
Professional Anesthesia Services of North America P.C. Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2015 Accepting new patients
Northeastern Anesthesia Physicians P.C. Past Accepting new patients
Anesthesia Associates of Easton, P C Past Accepting new patients

Locations

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200

1245 S Cedar Crest Blvd
Ste 301
Allentown, PA 18103
Phone (610) 402-9080

1251 S Cedar Crest Blvd
Ste 212C
Allentown, PA 18103
Phone (610) 402-8810

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

2310 Highland Ave
Bethlehem, PA 18020
Phone (610) 691-4300

219 S Balliet St
Frackville, PA 17931
Phone (570) 874-3404

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

700 E Norwegian St
Pottsville, PA 17901
Phone (570) 621-4000

330 Main St
Scranton, PA 18519
Phone (570) 330-5000

100 E Lancaster Ave
Ste 158
Wynnewood, PA 19096
Phone (484) 206-5800

2752 Century Blvd
Wyomissing, PA 19610
Phone (610) 372-8031

Organizations & group practices 9

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.

Hospital & facility affiliations 6

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": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1144226093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 DANIEL ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181048512",
            "telephone_number": "610-530-1891",
            "fax_number": "610-530-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 DAVIDSON AVE STE 204",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734153",
            "telephone_number": "732-271-1400",
            "fax_number": "732-271-3544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3639 E View Dr",
            "address_purpose": "LOCATION",
            "city": "Orefield",
            "state": "PA",
            "postal_code": "180692034",
            "country_code": "US",
            "telephone_number": "610-428-1544",
            "fax_number": "610-395-9336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRESGE",
        "first_name": "JOHN",
        "middle_name": "E",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN-324043-L",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "048901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1337989",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY",
            "identifier": "1337989",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11453892",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018603100007",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "2030781000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL ADVANTAGE",
            "identifier": "50026714",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "77537",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7312259",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1544464",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.