Steven Assifuah, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Freeport, NY
NPI 1194080663 · NPPES record last updated Jul 10, 2012
Key facts
- NPI
- 1194080663
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 4921731 (NY)
- Practice address
- 172 Saint Marks Ave
Freeport, NY 11520-5313 - Phone
- (516) 469-8036
- NPI assigned
- Jul 10, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170217000952 | NY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6002199080 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4921731 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles (1 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Digestive Diseases Diagnostic & Treatment Center LLC | Current |
Accepting new patients |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- sassifuah8271@nychhc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4921731 | NY | Yes |
Addresses
Primary practice location
172 Saint Marks Ave
Freeport, NY 11520-5313
Mailing address
172 Saint Marks Ave
Freeport, NY 11520-5313
Phone (516) 469-8036
Other providers in Freeport, NY
- Farrah Aristhene
- Christopher George Armbruster
- Aspire Diagnostics Corp
- Aspire DME Corporation
- Linda Assaf
- Associates in Health & Wellness Corp.
- Maria Augustin
- Olympia Avignone
- Crispin Abesamis Ayroso Sr.
- Crispin Zapanta Ayroso
All providers in Freeport, NY · Certified Registered Nurse Anesthetist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.