Active NPI
Tara Beth Trofa, MS, BSN, CRNA, CCRN
- Certified Registered Nurse Anesthetist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 124323
- Practice address
- 630 W 168TH St
New York, NY 10032-3725 - Phone
- (704) 902-8085
- NPI assigned
- Nov 16, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 267282 | NC | |
| Registered Nurse | 163W00000X | 781579 | NY | |
| Registered Nurse | 163W00000X | 169590 | CT | |
| Certified Registered Nurse Anesthetist | 367500000X | 124323 | NC | Primary |
Addresses
Primary practice location
630 W 168TH St
New York, NY 10032-3725
Mailing address
64 Midland PL Apt 2511
Tuckahoe, NY 10707-4250
Phone (704) 902-8085
Other practice location 1
5 Perryridge Rd
Greenwich, CT 06830-4608
Phone (203) 863-3390
Other names 1
- Tara Beth White
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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
55 Palmer Ave
Bronxville, NY 10708-3403
Phone (914) 787-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Certified Registered Nurse, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 169590 | CT | MD | Registered Nurse |
| 124323 | NC | MD | Registered Nurse |
| 267282 | NC | MD | Registered Nurse |
| 781579 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients | |
| Singular Anesthesia Services, PLLC | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients |
Locations
5 Perryridge Rd
Rm 369N
Greenwich, CT 06830
Phone (203) 863-3000
5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
20 York St
North Haven, CT 06510
Phone (203) 688-2433
55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
630 W 168th St
New York, NY 10032
Phone (212) 305-1948
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Hartsdale, NY
- NPI 1881086718
-
- Surgery Physician
- New York, NY
- NPI 1508266347
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
-
- Anesthesiology Physician
- New Haven, CT
- NPI 1205822236
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636329600000",
"number": "1295370963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 MIDLAND PL APT 2511",
"city": "TUCKAHOE",
"state": "NY",
"postal_code": "107074250",
"telephone_number": "704-902-8085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 W 168TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323725",
"telephone_number": "704-902-8085"
}
],
"practiceLocations": [
{
"address_1": "5 Perryridge Rd",
"address_purpose": "LOCATION",
"city": "Greenwich",
"state": "CT",
"postal_code": "068304608",
"country_code": "US",
"telephone_number": "203-863-3390",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TROFA",
"first_name": "TARA",
"middle_name": "BETH",
"credential": "MS, BSN, CRNA, CCRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-16",
"last_updated": "2021-11-08",
"certification_date": "2021-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "267282",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "781579",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "169590",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "124323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TARA",
"last_name": "WHITE",
"middle_name": "BETH",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.