Active NPI
Kelly Jean Eurich-Bradley, R.N. C.R.N.A.
- Certified Registered Nurse Anesthetist
- Suffern, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 071588
- Practice address
- 255 Lafayette Ave
Suffern, NY 10901-4812 - Phone
- (845) 368-5039
- Fax
- (845) 368-5327
- NPI assigned
- Jun 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 509632-1 | NY | |
| Certified Registered Nurse Anesthetist | 367500000X | 071588 | NY | Primary |
Addresses
Primary practice location
255 Lafayette Ave
Suffern, NY 10901-4812
Mailing address
100 Route 59
Suite 105
Suffern, NY 10901-4927
Phone (845) 357-5775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 S Bedford Rd
Mount Kisco, NY 10549-3425
Phone (914) 241-1050
68 Harris Bushville Rd
Monticello, NY 12701-3027
Phone (845) 357-5775
Hospital & facility affiliations
- St Anthony Community Hospital
- Garnet Health Medical Center Catskills
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 509632-1 | NY | MD | Registered Nurse |
| 071588 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| North Shore - Lij Anesthesiology, PC | Current | Accepting new patients | |
| Ramapo Anesthesiologists, PC | Current | Accepting new patients | |
| Warwick Anesthesia PC | Past | Accepting new patients |
Locations
195 E Main St
Huntington, NY 11743
Phone (631) 385-8677
95 Crystal Run Rd
Middletown, NY 10941
Phone (845) 703-3800
68 Harris Bushville Rd
Monticello, NY 12701
Phone (845) 897-6053
90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050
118 N Bedford Rd
Ste 200
Mount Kisco, NY 10549
Phone (800) 362-6220
317 E 34th St
New York, NY 10016
Phone (212) 263-9741
160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000
974 Route 45
Ste 2000
Pomona, NY 10970
Phone (845) 354-3700
160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000
255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830
233 Lafayette Ave
Ste LL5
Suffern, NY 10901
Phone (914) 794-7741
100 Route 59
Ste 105
Suffern, NY 10901
Phone (845) 357-5745
15 Maple Ave
Warwick, NY 10990
Phone (845) 986-2224
Philadelphia, PA 19195
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Organizations & group practices 5
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.
-
- Cardiovascular Disease Physician
- Mount Kisco, NY
- NPI 1982643003
-
- Anesthesiology Physician
- Suffern, NY
- NPI 1235151002
-
- Anesthesiology Physician
- Chappaqua, NY
- NPI 1417401266
-
- Durable Medical Equipment & Medical Supplies
- New Hyde Park, NY
- NPI 1053190595
-
- Pain Medicine (Anesthesiology) Physician
- Warwick, NY
- NPI 1578796504
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Harris, NY
- NPI 1710977012
-
- General Acute Care Hospital
- Warwick, NY
- NPI 1598755324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339027200000",
"number": "1154360337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 ROUTE 59",
"address_2": "SUITE 105",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109014927",
"telephone_number": "845-357-5775",
"fax_number": "845-357-5777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 LAFAYETTE AVE",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109014812",
"telephone_number": "845-368-5039",
"fax_number": "845-368-5327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EURICH-BRADLEY",
"first_name": "KELLY",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "R.N. C.R.N.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-05",
"last_updated": "2012-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "509632-1",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "071588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suffern, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.