Individual provider Active NPI

Boris G Kouanang, CRNA

  • Certified Registered Nurse Anesthetist
  • Livingston, NJ
National Provider Identifier
1154086643
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
26NJ01224000 Issued in NJ
Practice address
94 Old Short Hills Rd Ste 1
Livingston, NJ 07039-5668
Phone
(973) 322-5000
NPI assigned
Nov 1, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 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 26NJ01224000 NJ Primary

Addresses

Primary practice location

94 Old Short Hills Rd Ste 1
Livingston, NJ 07039-5668

Mailing address

200 Boyden Ave Apt 374
Maplewood, NJ 07040-2685
Phone (609) 218-7884

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211202002306 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 3072903210 Reassigns benefits to 5 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
University Hospital 77 clinicians
Rwjbh Observation Associates LLC 995 clinicians
New Jersey Healthcare Specialists PC 570 clinicians
Parkway Anesthesia Associates LLC 313 clinicians

Practice addresses (Care Compare)

150 Bergen St
245 Dept of Anesthesiology
Newark, NJ 07101-2496
Phone (973) 972-7867

201 Lyons Ave
Newark, NJ 07112-2027
Phone (973) 926-7000

65 James St
Edison, NJ 08820-3947
Phone (201) 854-5000

7600 River Rd
North Bergen, NJ 07047-6217
Phone (201) 854-5000

Hospital & facility affiliations

  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108
  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
  • The University Hospital Hospital, Newark, NJ, CCN 310119
  • Saint Peter'S University Hospital Hospital, New Brunswick, NJ, CCN 310070

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
94.87
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01224000NJMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospital CurrentSince May 1, 2024 Accepting new patients
North American Partners in Anesthesia of New Jersey LLC CurrentSince Oct 24, 2021 Accepting new patients
Parkway Anesthesia Associates LLC CurrentSince Jan 28, 2026 Accepting new patients
New Jersey Healthcare Specialists PC CurrentSince Mar 1, 2023 Accepting new patients
University Hospital Nurse Anesthetist, Certified Registered CurrentSince May 1, 2024 Accepting new patients
Rwjbh Observation Associates LLC CurrentSince Sep 17, 2022 Accepting new patients
Anesthesia Services of Practice Associates, PA CurrentSince Mar 13, 2023 Accepting new patients

Locations

65 James St
Edison, NJ 08820
Phone (732) 321-7010

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

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

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

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

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

150 Bergen St
#E245
Newark, NJ 07103
Phone (973) 972-7867

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

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

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

97 W Parkway
Pompton Plns, NJ 07444
Phone (973) 831-5000

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

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

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

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

Interoperability endpoints

  • Direct secure messaging: bkouanang464733@direct.ahsys.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1154086643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BOYDEN AVE APT 374",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402685",
            "telephone_number": "609-218-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 OLD SHORT HILLS RD STE 1",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395668",
            "telephone_number": "973-322-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUANANG",
        "first_name": "BORIS",
        "middle_name": "G",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NJ01224000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.