Active NPI
Patricia Nezelek, CRNA
- Certified Registered Nurse Anesthetist
- Binghamton, NY
National Provider Identifier
1235125154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CRNA45188
- Practice address
- Riverside Associates
40 Front St.
Binghamton, NY 13905 - Phone
- (607) 722-7264
- Fax
- (607) 722-7869
- NPI assigned
- Sep 26, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | CRNA45188 | NY | Primary |
Addresses
Primary practice location
Riverside Associates
40 Front St.
Binghamton, NY 13905
Mailing address
Riverside Associates in Anesthesia
40 Front St. Suite C
Binghamton, NY 13905
Phone (607) 722-7264
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CRNA45188 | NY | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485129600000",
"number": "1235125154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RIVERSIDE ASSOCIATES IN ANESTHESIA",
"address_2": "40 FRONT ST. SUITE C",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "13905",
"telephone_number": "607-722-7264",
"fax_number": "607-722-7869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RIVERSIDE ASSOCIATES",
"address_2": "40 FRONT ST.",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "13905",
"telephone_number": "607-722-7264",
"fax_number": "607-722-7869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEZELEK",
"first_name": "PATRICIA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-26",
"last_updated": "2017-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "CRNA45188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Binghamton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.