Individual provider Active NPI

Ellen Lauletta, CRNA, MSN

  • Certified Registered Nurse Anesthetist
  • Pomona, NJ
National Provider Identifier
1184037228
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
26NR16006200 Issued in NJ
Practice address
65 W Jimmie Leeds Rd
Pomona, NJ 08240-9102
Phone
(609) 652-1000
NPI assigned
Jun 6, 2014
Last updated
Sep 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 26NR16006200 NJ Primary

Addresses

Primary practice location

65 W Jimmie Leeds Rd
Pomona, NJ 08240-9102

Mailing address

139 Birch Dr
Hammonton, NJ 08037-3379

Other names 1

  • Ellen Kantor Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140922000881 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547489742 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
26NR16006200NJMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Regional Medical Center CurrentSince Jul 22, 2014 Accepting new patients
Mid-Atlantic Anesthesia Associates PA CurrentSince Jul 18, 2016 Accepting new patients
Ultracare Anesthesia Partners LLC Nurse Anesthetist, Certified Registered CurrentSince May 19, 2023 Accepting new patients
South Jersey Anesthesia and Pain Physicians PC CurrentSince Mar 13, 2020 Accepting new patients
Atlanticare Regional Medical Center CurrentSince Jul 22, 2014 Accepting new patients

Locations

1600 Haddon Ave
Camden, NJ 08103
Phone (609) 757-3500

1600 Haddon Ave
#L
Camden, NJ 08103
Phone (856) 757-3500

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

2 Van Buren Rd
Voorhees, NJ 08043
Phone (856) 770-0800

93 Cooper Rd
Ste 100
Voorhees, NJ 08043
Phone (856) 358-4520

509 N Broad St
Woodbury, NJ 08096
Phone (856) 686-5396

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1184037228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 BIRCH DR",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080373379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 W JIMMIE LEEDS RD",
            "city": "POMONA",
            "state": "NJ",
            "postal_code": "082409102",
            "telephone_number": "609-652-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAULETTA",
        "first_name": "ELLEN",
        "credential": "CRNA, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-06",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NR16006200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "KANTOR",
            "credential": "CRNA, MSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pomona, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.

Verify at the official NPI Registry.