Andrew B Severance, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

26NJ00281100 Issued in NJ

Practice address

9701 Ventnor Ave Ste 201
Margate City, NJ 08402-2222

Phone

(609) 822-4242

Fax

(609) 822-3211

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ, PA2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Medical Group P CGroup PAC ID 1355247180, 105 clinicians

Horizon Eye Care PAGroup PAC ID 4082618764, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrew.severancecrna.p1@direct.horizoneyecare.nextgenshare.com

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.

• Horizon Eye Care PA

  dba Horizon Eye Care

  • Ophthalmology Physician
  • Margate, NJ
  • NPI 1104866953
  Medicare reassignment Care Compare group NPD
• Integrated Medical Group P C

  • Family Medicine Physician
  • Pottsville, PA
  • NPI 1336102268
  Medicare reassignment Care Compare group NPD
• Professional Service Fund of Deborah- Anesthesia

  • Specialist
  • Browns Mills, NJ
  • NPI 1902852015
  Medicare reassignment NPD
• Shrewsbury Ambulatory Anesthesia LLC

  • Anesthesiology Physician
  • Shrewsbury, NJ
  • NPI 1356691885
  Medicare reassignment NPD
• Society Hill Anesthesia Consultants of New Jersey, PC

  • Anesthesiology Physician
  • Cherry Hill, NJ
  • NPI 1396797445
  Medicare reassignment NPD
• South Jersey Anesthesia and Pain Physicians PC

  • Anesthesiology Physician
  • Woodbury, NJ
  • NPI 1700821352
  Medicare reassignment NPD
• West Jersey Anesthesia Associate PA

  • Anesthesiology Physician
  • Marlton, NJ
  • NPI 1609861947
  Medicare reassignment NPD
• Society Hill Anesthesia Consultants, PC

  • Anesthesiology Physician
  • Philadelphia, PA
  • NPI 1427003219
  Medicare reassignment NPD
• Ultracare Anesthesia Partners LLC

  • Anesthesiology Physician
  • Philadelphia, PA
  • NPI 1407236110

  NJ, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Horizon Eye Care PA

  • Eyewear Supplier
  • Galloway, NJ
  • NPI 1205347697
  NPD
• Professional Service Fund of Deborah Heart & Lung Center

  • Specialist
  • Browns Mills, NJ
  • NPI 1407803596
  NPD
• GSC Anesthesia

  • Certified Registered Nurse Anesthetist
  • Philadelphia, PA
  • NPI 1134718885

  Nurse Anesthetist, Certified Registered

  NPD

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1154358588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 VENTNOR AVE STE 201",
            "city": "MARGATE CITY",
            "state": "NJ",
            "postal_code": "084022222",
            "telephone_number": "609-822-4242",
            "fax_number": "609-822-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 VENTNOR AVE STE 201",
            "city": "MARGATE CITY",
            "state": "NJ",
            "postal_code": "084022222",
            "telephone_number": "609-822-4242",
            "fax_number": "609-822-3211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Haddon Ave",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081033101",
            "country_code": "US",
            "telephone_number": "856-757-3836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEVERANCE",
        "first_name": "ANDREW",
        "middle_name": "B",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NJ00281100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "222041639",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Robnett, CRNA
• Laura M Rodgers, LCSW
• Jill Jennifer Rodio-Vivadelli, O.D.
• Jacqueline Rounds, D.O.
• Joelle Schrag, LCSW
• Diane L Shapiro, LCSW
• Lianna Shaw, LMFT
• Mindy Shemtov, MSW
• Dean N Shissias, O.D.
• Joseph Russell Singer, MD

• Certified Registered Nurse Anesthetist in Margate City, NJ
• Providers in Margate City, NJ by specialty
• Certified Registered Nurse Anesthetist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.