Active NPI
Emily Marie Bodin
- Certified Registered Nurse Anesthetist
- Kingston, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 665347
- Practice address
- 396 Broadway
Kingston, NY 12401-4626 - Phone
- (845) 331-3131
- Fax
- (845) 331-2530
- NPI assigned
- Nov 21, 2012
- Last updated
- Sep 1, 2021
- 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 | 665347 | NY | Primary |
Addresses
Primary practice location
396 Broadway
Kingston, NY 12401-4626
Mailing address
19 Bradhurst Ave Ste 3100N
Hawthorne, NY 10532-2140
Phone (914) 909-9018
Other practice location 1
105 Marys Ave
Kingston, NY 12401-5829
Phone (845) 338-2500
Other practice location 2
300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-0100
Other practice location 3
241 North Rd
Poughkeepsie, NY 12601-1154
Phone (845) 483-5989
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01365422 | Other | NY | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
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)
100 E 77TH St
New York, NY 10075-1850
Phone (212) 434-2878
195 E Main St
Huntington, NY 11743-2957
Phone (914) 666-8866
210 E 64TH St
New York, NY 10065-7471
Phone (212) 838-9200
396 Broadway
Kingston, NY 12401-4626
Phone (845) 331-3131
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 665347 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians of University Hospital, PC | Current | Accepting new patients | |
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Weill Medical College of Cornell | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North Shore - Lij Anesthesiology, PC | Current | Accepting new patients | |
| Physicians of University Hospital, PC | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services, PC | Current | Accepting new patients | |
| Physicians of University Hospital, PC | Current | Accepting new patients | |
| North American Partners in Anesthesia LLP | Past | Accepting new patients |
Locations
19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373
195 E Main St
Huntington, NY 11743
Phone (631) 385-8677
105 Marys Ave
Kingston, NY 12401
Phone (845) 334-3080
396 Broadway
Kingston, NY 12401
Phone (845) 331-3131
300 Community Dr
Manhasset, NY 11030
118 N Bedford Rd
Ste 200
Mount Kisco, NY 10549
Phone (800) 362-6220
100 E 77th St
New York, NY 10075
Phone (212) 434-2606
170 William St
New York, NY 10038
Phone (212) 238-0100
210 E 64th St
Fl 5
New York, NY 10065
Phone (212) 434-2700
525 E 68th St
New York, NY 10065
Phone (212) 746-2846
525 E 68th St
#585
New York, NY 10065
Phone (212) 746-2059
160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000
241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889
1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047
242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458
401 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-6186
100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 9
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.
-
- Anesthesiology Physician
- Chappaqua, NY
- NPI 1417401266
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
- Geriatric Medicine (Internal Medicine) Physician
- Staten Island, NY
- NPI 1417901323
-
dba Nyph / WCMC Crna's
- Certified Registered Nurse Anesthetist
- New York, NY
- NPI 1164768305
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bay Shore, NY
- NPI 1023513116
-
- Anesthesiology Physician
- New York, NY
- NPI 1992200075
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1477616571
-
dba Westchester Medical Center
- General Acute Care Hospital
- Valhalla, NY
- NPI 1932280666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1235473778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 BRADHURST AVE STE 3100N",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105322140",
"telephone_number": "914-909-9018",
"fax_number": "914-909-9028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "396 BROADWAY",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124014626",
"telephone_number": "845-331-3131",
"fax_number": "845-331-2530"
}
],
"practiceLocations": [
{
"address_1": "105 Marys Ave",
"address_purpose": "LOCATION",
"city": "Kingston",
"state": "NY",
"postal_code": "124015829",
"country_code": "US",
"telephone_number": "845-338-2500",
"fax_number": "845-331-2530",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Community Dr",
"address_purpose": "LOCATION",
"city": "Manhasset",
"state": "NY",
"postal_code": "110303816",
"country_code": "US",
"telephone_number": "516-562-0100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "241 North Rd",
"address_purpose": "LOCATION",
"city": "Poughkeepsie",
"state": "NY",
"postal_code": "126011154",
"country_code": "US",
"telephone_number": "845-483-5989",
"fax_number": "845-483-5912",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BODIN",
"first_name": "EMILY",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-21",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "665347",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01365422",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.