Active NPI
Stanislav Erenburg, CRNA
- Certified Registered Nurse Anesthetist
- New Hyde Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 585363
- Practice address
- 27005 76TH Ave
New Hyde Park, NY 11040-1402 - Phone
- (718) 470-7390
- NPI assigned
- Dec 1, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 26NJ00892700 | NJ | |
| Certified Registered Nurse Anesthetist | 367500000X | 585363 | NY | Primary |
Addresses
Primary practice location
27005 76TH Ave
New Hyde Park, NY 11040-1402
Mailing address
74A Passaic Ave
Summit, NJ 07901-1228
Phone (718) 207-3697
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
55 Mdwlands Pkwy
Secaucus, NJ 07094-2977
Phone (917) 681-4963
65 James St
Edison, NJ 08820-3947
Phone (201) 854-5000
703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-2000
99 Beauvoir Ave
Summit, NJ 07901-3533
Phone (908) 522-2000
Hospital & facility affiliations
- Overlook Medical Center
- JFK University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 585363 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Igor Amigud Physician P.C. | Current | Accepting new patients | |
| Long Island Anesthesia Physicians LLP | Current | Accepting new patients | |
| Coney Island Medical Practice Plan, P.C. | Current | Accepting new patients | |
| North American Partners in Anesthesia LLP | Current | Accepting new patients | |
| North American Partners in Anesthesia of New Jersey LLC | Current | Accepting new patients | |
| Canj Anesthesia LLC | Current | Accepting new patients | |
| New Jersey Healthcare Specialists PC | Current | Accepting new patients | |
| Centurion Anesthesia Surgical Centers LLC | Current | Accepting new patients |
Locations
1 N Washington Ave
Ste A
Bergenfield, NJ 07621
Phone (201) 374-2829
65 James St
Edison, NJ 08820
Phone (732) 321-7010
321 Essex St
Hackensack, NJ 07601
Phone (201) 692-9800
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744
99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232
741 Northfield Ave
West Orange, NJ 07052
Phone (973) 243-9729
225 Sunset Rd
Willingboro, NJ 08046
Phone (609) 877-2800
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
27005 76th Ave
North New Hyde Pk, NY 11040
200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Secaucus, NJ
- NPI 1881353662
-
- Anesthesiology Physician
- Hackensack, NJ
- NPI 1174585780
-
- Anesthesiology Physician
- Valley Stream, NY
- NPI 1326707100
NJ
-
- General Practice Physician
- Brooklyn, NY
- NPI 1386951762
-
- Specialist
- New York, NY
- NPI 1245337989
-
- Anesthesiology Physician
- Rocky Point, NY
- NPI 1952387276
-
- Anesthesiology Physician
- Brick, NJ
- NPI 1548433048
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Summit, NJ
- NPI 1740254143
-
- General Acute Care Hospital
- Edison, NJ
- NPI 1144894577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559520000000",
"number": "1154698488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74A PASSAIC AVE",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079011228",
"telephone_number": "718-207-3697",
"fax_number": "516-945-3131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27005 76TH AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110401402",
"telephone_number": "718-470-7390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERENBURG",
"first_name": "STANISLAV",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-01",
"last_updated": "2019-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26NJ00892700",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "585363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.