Individual provider Active NPI

John A Stellato, CRNA

  • Certified Registered Nurse Anesthetist
  • Fishkill, NY
National Provider Identifier
1346214657
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
002974 Issued in CT
Practice address
400 Westage Bus Ctr Dr Ste 202
Fishkill, NY 12524-2266
Phone
(845) 896-0736
Fax
(845) 896-4850
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 002974 CT Primary

Addresses

Primary practice location

400 Westage Bus Ctr Dr Ste 202
Fishkill, NY 12524-2266

Mailing address

111 Clock Tower CMNS
Brewster, NY 10509-4055
Phone (845) 592-4915

Other practice location 1

21 Elm St
New Milford, CT 06776-2915
Phone (860) 355-9950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040310000122 CT Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567350572 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Gi PLLCGroup PAC ID 9830110758, 243 clinicians
Amsurg Stamford Anesthesia LLCGroup PAC ID 6305066341, 11 clinicians

Practice addresses (Care Compare)

300 Western Blvd
Glastonbury, CT 06033-4305
Phone (860) 657-1920

778 Long Ridge Rd
Stamford, CT 06902-1265
Phone (203) 322-2400

Merit-based Incentive Payment System (MIPS)

Final score
91.99 of 100Reported as group
Quality
89.16
Promoting interoperability
100
Improvement activities
40
Cost
78.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002974CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia Connecticut PC CurrentSince Aug 3, 2020 Accepting new patients
Connecticut Gi PLLC CurrentSince Sep 1, 2020 Accepting new patients
Endoscopy Center of Connecticut, LLC CurrentSince May 15, 2021 Accepting new patients
Amsurg Stamford Anesthesia LLC CurrentSince Sep 16, 2023 Accepting new patients
Greater Connecticut Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 31, 2023 Accepting new patients
Endoscopy Center of Connecticut, LLC CurrentSince May 15, 2021 Accepting new patients
NM Anesthesia Associates, PC Past Accepting new patients
North American Partners in Anesthesia LLP Past Accepting new patients

Locations

425 Post Rd
Fairfield, CT 06824
Phone (203) 255-4545

300 Western Blvd
Glastonbury, CT 06033
Phone (860) 547-0306

2200 Whitney Ave
Ste 380
Hamden, CT 06518
Phone (203) 281-3636

85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

30 Waterchase Dr
Rocky Hill, CT 06067
Phone (860) 257-4131

30 Waterchase Dr
Ste 2
Rocky Hill, CT 06067

778 Long Ridge Rd
Stamford, CT 06902
Phone (203) 322-2400

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1346214657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CLOCK TOWER CMNS",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094055",
            "telephone_number": "845-592-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WESTAGE BUS CTR DR STE 202",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242266",
            "telephone_number": "845-896-0736",
            "fax_number": "845-896-4850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Elm St",
            "address_purpose": "LOCATION",
            "city": "New Milford",
            "state": "CT",
            "postal_code": "067762915",
            "country_code": "US",
            "telephone_number": "860-355-9950",
            "fax_number": "860-350-9510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STELLATO",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "002974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.