Active NPI
Boris G Kouanang, CRNA
- Certified Registered Nurse Anesthetist
- Livingston, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 26NJ01224000
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 HospitalRwjbh Observation Associates LLCNew Jersey Healthcare Specialists PCParkway Anesthesia Associates LLC
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
- Cooperman Barnabas Medical Center
- The University Hospital
- Saint Peter'S University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01224000 | NJ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospital | Current | Accepting new patients | |
| North American Partners in Anesthesia of New Jersey LLC | Current | Accepting new patients | |
| Parkway Anesthesia Associates LLC | Current | Accepting new patients | |
| New Jersey Healthcare Specialists PC | Current | Accepting new patients | |
| University Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Rwjbh Observation Associates LLC | Current | Accepting new patients | |
| Anesthesia Services of Practice Associates, PA | Current | 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
- 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.
-
- Certified Registered Nurse Anesthetist
- Newark, NJ
- NPI 1609045277
NJ, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Morristown, NJ
- NPI 1982295812
NJ
-
- Community/Retail Pharmacy
- Newark, NJ
- NPI 1306596390
-
- Acute Care Nurse Practitioner
- Newark, NJ
- NPI 1023266962
-
- Acute Care Nurse Practitioner
- Newark, NJ
- NPI 1033494430
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1215998323
-
- Acute Care Nurse Practitioner
- Newark, NJ
- NPI 1457525156
-
- Clinic/Center
- Newark, NJ
- NPI 1609178276
-
- Primary Podiatric Medicine Podiatrist
- Newark, NJ
- NPI 1871190140
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Livingston, NJ
- NPI 1396857488
Hospital
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1114924834
Hospital
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.