Active NPI
Mandisa Dalila Dennis, CRNA
- Certified Registered Nurse Anesthetist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 536950-01
- Practice address
- 170 William St
New York, NY 10038-2612 - Phone
- (803) 467-8058
- NPI assigned
- Aug 30, 2006
- 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 | 536950-01 | NY | Primary |
Addresses
Primary practice location
170 William St
New York, NY 10038-2612
Mailing address
575 Lexington Ave
New York, NY 10022-6102
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, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
525 E 68TH St
New York, NY 10065-4870
Phone (212) 746-2846
Hospital & facility affiliations
- New York-Presbyterian Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 536950-01 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Harlem Medical Associates PC | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| North American Partners in Anesthesia LLP | Current | Accepting new patients | |
| Weill Medical College of Cornell | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Interfaith Professional Physician Services, P.C. | Current | Accepting new patients | |
| New York Gi Center LLC | Current | Accepting new patients | |
| Sedation Vacation Perioperative Medicine PLLC | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| University Physicians of Brooklyn, Inc | Past | Accepting new patients |
Locations
7 Southwoods Blvd
Ste 4
Albany, NY 12211
1200 Waters Pl
Ste M117
Bronx, NY 10461
Phone (718) 863-0575
111 E 210th St
Bronx, NY 10467
121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604
1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313
1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175
3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
525 E 68th St
New York, NY 10065
Phone (212) 746-2846
170 William St
New York, NY 10038
Phone (212) 238-0100
10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Organizations & group practices 10
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.
-
- Certified Registered Nurse Anesthetist
- New York, NY
- NPI 1164768305
Nurse Anesthetist, Certified Registered
-
- General Practice Physician
- New York, NY
- NPI 1487957692
-
- Allergy Physician
- Brooklyn, NY
- NPI 1457643991
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Endoscopy Clinic/Center
- Bronx, NY
- NPI 1336258128
-
- Specialist
- Valley Stream, NY
- NPI 1891235404
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
-
- Anesthesiology Physician
- Brooklyn, NY
- NPI 1104878180
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1144504044
-
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
-
- General Acute Care Hospital
- Bronxville, NY
- NPI 1780196345
-
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1336258490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 LEXINGTON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100226102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 WILLIAM ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100382612",
"telephone_number": "803-467-8058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "MANDISA",
"middle_name": "DALILA",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "536950-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Dec 30, 2024; 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.