Individual provider Active NPI

Gifty John

  • Certified Registered Nurse Anesthetist
  • Fairfield, CT
National Provider Identifier
1225601677
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
137467 Issued in CT
Practice address
146 Flushing Ave
Fairfield, CT 06825-1450
Phone
(516) 425-0915
NPI assigned
Jul 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 590249 NY
Certified Registered Nurse Anesthetist 367500000X 137467 CT Primary

Addresses

Primary practice location

146 Flushing Ave
Fairfield, CT 06825-1450

Mailing address

146 Flushing Ave
Fairfield, CT 06825-1450
Phone (516) 425-0915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221018003173 CT Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729454657 Reassigns benefits to 6 organizations
I20221122002600 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729454657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians
Synergy Anesthesia CT PLLCGroup PAC ID 1759755416, 34 clinicians
Amsurg Stamford Anesthesia LLCGroup PAC ID 6305066341, 11 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

16 Guion PL
New Rochelle, NY 10801-5502
Phone (914) 378-6148

64 Robbins St
Waterbury, CT 06708-2613
Phone (203) 573-7280

778 Long Ridge Rd
Stamford, CT 06902-1265
Phone (203) 322-2400

Hospital & facility affiliations

  • Montefiore New Rochelle Hospital Hospital, New Rochelle, NY, CCN 330184
  • Waterbury Hospital Hospital, Waterbury, CT, CCN 070005

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
590249NYMDCritical Care Medicine Registered Nurse
10873CTMDPharmacist
137467CTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Amsurg Stamford Anesthesia LLC CurrentSince May 17, 2023 Accepting new patients
Greater Connecticut Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2024 Accepting new patients
North American Partners in Anesthesia Connecticut PC CurrentSince Aug 24, 2022 Accepting new patients
Montefiore Medical Center CurrentSince Aug 22, 2022 Accepting new patients
Wilton Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Aug 22, 2022 Accepting new patients
Anesthesiologists of Middletown, P.C. Past Accepting new patients

Locations

4 Northwestern Dr
Bloomfield, CT 06002
Phone (860) 243-2969

4920 Main St
Bridgeport, CT 06606
Phone (203) 371-2986

51-53 Kenosia Ave
Danbury, CT 06810
Phone (203) 748-0330

425 Post Rd
Fairfield, CT 06824
Phone (203) 255-4545

75 Kings Highway Cutoff
Ste 3A
Fairfield, CT 06824
Phone (203) 373-7330

178 Hartford Rd
Manchester, CT 06040
Phone (860) 649-9973

30 Commerce Park
Milford, CT 06460
Phone (203) 878-0479

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

1 Long Wharf Dr
Ste 212
New Haven, CT 06511
Phone (203) 624-4208

280 State St
North Haven, CT 06473
Phone (203) 288-2886

761 Main Ave
Ste 200
Norwalk, CT 06851
Phone (203) 290-6553

30 Waterchase Dr
Ste 2
Rocky Hill, CT 06067

100 Beard Sawmill Rd
Ste 250
Shelton, CT 06484
Phone (203) 227-1324

2600 Post Rd
Southport, CT 06890
Phone (203) 255-4005

778 Long Ridge Rd
Stamford, CT 06902
Phone (203) 322-2400

1275 Summer St
Ste 201
Stamford, CT 06905
Phone (203) 325-3200

495 Hawley Ln
Ste 2A
Stratford, CT 06614
Phone (203) 210-6333

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

400 10th St E
Waconia, MN 55387

111 E 210th St
Bronx, NY 10467

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

100 Corporate Dr
Ste 100
Yonkers, NY 10701
Phone (914) 378-6148

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: gifjohn@montefioredirect.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1225601677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 FLUSHING AVE",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068251450",
            "telephone_number": "516-425-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 FLUSHING AVE",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068251450",
            "telephone_number": "516-425-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "GIFTY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NY",
            "license": "590249",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "137467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.

Verify at the official NPI Registry.