Individual provider Active NPI

Doris M. Knowles, CRNA

  • Certified Registered Nurse Anesthetist
  • Mount Holly, NJ
National Provider Identifier
1275504201
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
26NJ00209500 Issued in NJ
Practice address
175 Madison Avenue
Mount Holly, NJ 08060-2038
Phone
(609) 261-1660
Fax
(609) 261-4454
NPI assigned
Jan 28, 2006
Last updated
Jun 8, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 26NJ00209500 NJ Primary
Registered Nurse 163W00000X 26NO05247800 NJ

Addresses

Primary practice location

175 Madison Avenue
Mount Holly, NJ 08060-2038

Mailing address

P.O. Box 551420
Fort Lauderdale, FL 33355-1420
Phone (800) 243-3839

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040728000170 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 4587634571 Reassigns benefits to 2 organizations
I20101103000857 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 4587634571 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wine Anesthesia LLCGroup PAC ID 4688769094, 4 clinicians
Rwjbh Observation Associates LLCGroup PAC ID 5193137503, 995 clinicians

Practice addresses (Care Compare)

129 Slosson Ave
Staten Island, NY 10314-2522
Phone (718) 720-5928

600 River Ave
FL 3
Lakewood, NJ 08701-5237
Phone (732) 886-4700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NO05247800NJMDRegistered Nurse
26NJ00209500NJMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Igor Amigud Physician P.C. CurrentSince Apr 1, 2015 Accepting new patients
Wine Anesthesia, LLC CurrentSince Apr 1, 2013 Accepting new patients
Rwjbh Observation Associates LLC CurrentSince Jan 3, 2026 Accepting new patients
Rwjbh Emergency Medicine Associates, LLC CurrentSince Jan 3, 2026 Accepting new patients
Trinitas Anesthesia Associates, LLC Past Accepting new patients
Liberty Anesthesia, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Monmouth Anesthesia Associates Past Accepting new patients
Rahway Anesthesiologists, PA Past Accepting new patients

Locations

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

600 River Ave
Fl 3
Lakewood, NJ 08701
Phone (732) 886-4700

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

865 Stone St
Rahway, NJ 07065
Phone (732) 381-4000

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

150 E 61st St
New York, NY 10065
Phone (212) 644-0002

129 Slosson Ave
Staten Island, NY 10314
Phone (718) 720-5928

1424 Richmond Ave
Staten Island, NY 10314
Phone (718) 370-1288

1441 South Ave
Fl 8
Staten Island, NY 10314
Phone (718) 720-5928

2066 Richmond Ave
Ste 202
Staten Island, NY 10314
Phone (718) 354-3320

5 Coddington Ave
Staten Island, NY 10306
Phone (718) 351-1350

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

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": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1275504201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 551420",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333551420",
            "telephone_number": "800-243-3839",
            "fax_number": "855-851-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MADISON AVENUE",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080602038",
            "telephone_number": "609-261-1660",
            "fax_number": "609-261-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLES",
        "first_name": "DORIS",
        "middle_name": "M.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-28",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NJ00209500",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NO05247800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Holly, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.