Active NPI
Anna Tchoudovskaia, RN, CRNA, DNAP
- Certified Registered Nurse Anesthetist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 88325
- Practice address
- 1275 York Ave
Department of Anesthesiology
New York, NY 10065-6007 - Phone
- (212) 639-6840
- NPI assigned
- Dec 17, 2011
- Last updated
- Feb 21, 2024
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 88325 | NY | Primary |
| Registered Nurse | 163W00000X | 651902-1 | NY |
Addresses
Primary practice location
1275 York Ave
Department of Anesthesiology
New York, NY 10065-6007
Mailing address
1275 York Ave
New York, NY 10065-6007
Phone (212) 639-6840
Other practice location 1
2215 Burdett Ave
Troy, NY 12180-2475
Phone (518) 525-8600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 651902-1 | NY | MD | Registered Nurse |
| 88325 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph's Physician Health, P.C. | Current | Accepting new patients | |
| Memorial Anesthesiology Group | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Centurion Midtown Anesthesia PLLC | Current | Accepting new patients | |
| Sedation Vacation Perioperative Medicine PLLC | Current | Accepting new patients |
Locations
1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313
11129 Queens Blvd
Forest Hills, NY 11375
Phone (718) 275-8900
8745 Lake Street Rd
Le Roy, NY 14482
Phone (585) 267-7570
1275 York Ave
New York, NY 10065
Phone (212) 639-3813
305 E 47th St
New York, NY 10017
Phone (212) 203-8744
633 3rd Ave
Lbby 3
New York, NY 10017
Phone (848) 225-6000
10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600
104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442
2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- New York, NY
- NPI 1750087854
-
- Anesthesiology Physician
- New York, NY
- NPI 1467423020
Nurse Anesthetist, Certified Registered
-
- Specialist
- Valley Stream, NY
- NPI 1891235404
-
- Anesthesiology Physician
- Troy, NY
- NPI 1154376770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708473600000",
"number": "1154690329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 YORK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656007",
"telephone_number": "212-639-6840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 YORK AVE",
"address_2": "DEPARTMENT OF ANESTHESIOLOGY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656007",
"telephone_number": "212-639-6840"
}
],
"practiceLocations": [
{
"address_1": "2215 Burdett Ave",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "NY",
"postal_code": "121802475",
"country_code": "US",
"telephone_number": "518-525-8600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TCHOUDOVSKAIA",
"first_name": "ANNA",
"name_prefix": "Ms.",
"credential": "RN, CRNA, DNAP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-17",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "88325",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "651902-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.