Individual provider Active NPI

Joanne Dilacqua, CRNA

  • Certified Registered Nurse Anesthetist
  • Pennington, NJ
National Provider Identifier
1366430514
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
26NJ00267300 Issued in NJ
Practice address
1 Capital Way
2ND Floor Anesthesia Offices
Pennington, NJ 08534-2520
Phone
(609) 396-4700
NPI assigned
Oct 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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 RN327603L PA
Certified Registered Nurse Anesthetist 367500000X 26NJ00267300 NJ Primary

Addresses

Primary practice location

1 Capital Way
2ND Floor Anesthesia Offices
Pennington, NJ 08534-2520

Mailing address

804 Scott Nixon Memorial Drive
Augusta, GA 30909-2464
Phone (800) 394-4445

Other identifiers 2

IdentifierTypeStateIssuer
115406RVBOtherNJNATIONAL GOVERNMENT SERVICES (NJ EMPIRE)
076790Q1ROtherPAREADING MEDICARE

Other names 1

  • Joanne Edmonds Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040420000451 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476548264 Reassigns benefits to 3 organizations
I20060829000473 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476548264 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Jersey Healthcare Specialists PCGroup PAC ID 2668385253, 570 clinicians
Anesthesia Advantage PCGroup PAC ID 9335048693, 15 clinicians
Rgal Anesthesia Services LLCGroup PAC ID 7517130602, 126 clinicians
Shrewsbury Ambulatory Anesthesia LLCGroup PAC ID 4385899962, 141 clinicians

Practice addresses (Care Compare)

1 Capital Way
Pennington, NJ 08534-2520
Phone (800) 637-2374

12 Newburyport Rd
Langhorne, PA 19053-1556
Phone (215) 860-4110

2112 Harrisburg Pike
Suite 202
Lancaster, PA 17601-2644
Phone (717) 869-4600

655 Shrewsbury Ave
Shrewsbury, NJ 07702-4179
Phone (732) 450-6000

750 Brunswick Ave
Trenton, NJ 08638-4143
Phone (609) 394-6000

901 W Main St
Freehold, NJ 07728-2537
Phone (732) 431-2000

Hospital & facility affiliations

  • Capital Health Regional Medical Center Hospital, Trenton, NJ, CCN 310092
  • Capital Health Medical Center - Hopewell Hospital, Pennington, NJ, CCN 310044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00267300NJMDCertified Registered Nurse Anesthetist
RN327603LPAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Rgal Anesthesia Services LLC CurrentSince Apr 1, 2022 Accepting new patients
Anesthesia Advantage PC Nurse Anesthetist, Certified Registered CurrentSince Nov 16, 2011 Accepting new patients
New Jersey Healthcare Specialists PC CurrentSince Apr 16, 2014 Accepting new patients
North American Partners in Anesthesia, Pennsylvania , LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2022 Accepting new patients
Clinical Pain Management Associates, PC Past Accepting new patients
Delaware Valley Anesthesia Associates, PC Past Accepting new patients
Virtua Medical Group, PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Penn Valley Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Advantage of Delaware, P.a. Nurse Anesthetist, Certified Registered Past Accepting new patients
Middletown Anesthesia Group PC Past Accepting new patients
Trenton Anesthesiology Associates PA Nurse Anesthetist, Certified Registered PastSince Oct 1, 2004 Accepting new patients

Locations

804 Route 9 S
Cape May Court House, NJ 08210
Phone (609) 463-0909

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

1 Capital Way
Fl 2
Pennington, NJ 08534
Phone (609) 396-4700

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

2104 Harrisburg Pike
Ste 300
Lancaster, PA 17601
Phone (717) 544-3400

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

319 2nd Street Pike
Southampton, PA 18966
Phone (215) 355-4428

Organizations & group practices 12

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.

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1366430514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SCOTT NIXON MEMORIAL DRIVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309092464",
            "telephone_number": "800-394-4445",
            "fax_number": "706-650-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CAPITAL WAY",
            "address_2": "2ND FLOOR ANESTHESIA OFFICES",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342520",
            "telephone_number": "609-396-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILACQUA",
        "first_name": "JOANNE",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN327603L",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NJ00267300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL GOVERNMENT SERVICES (NJ EMPIRE)",
            "identifier": "115406RVB",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "READING MEDICARE",
            "identifier": "076790Q1R",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNE",
            "last_name": "EDMONDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pennington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.