Active NPI
Athena Kerin
- Certified Registered Nurse Anesthetist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 535903
- Practice address
- 5000 Avenue K
Brooklyn, NY 11234-2202 - Phone
- (718) 250-8259
- NPI assigned
- May 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 535903-1 | NY | |
| Certified Registered Nurse Anesthetist | 367500000X | 535903 | NY | Primary |
Addresses
Primary practice location
5000 Avenue K
Brooklyn, NY 11234-2202
Mailing address
2 Catharine St
P O Box 550
Poughkeepsie, NY 12601-3100
Phone (845) 790-2661
Other practice location 1
5000 Avenue K
Brooklyn, NY 11234-2202
Phone (718) 250-8259
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, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
127 S Broadway
Yonkers, NY 10701-4006
Phone (845) 357-5775
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 535903-1 | NY | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| North American Partners in Anesthesia LLP | Single Specialty | Current | Accepting new patients |
| Ramapo Anesthesiologists, PC | Single Specialty | Current | Accepting new patients |
| Optum Medical Care, P.C. | Single Specialty | Current | Accepting new patients |
Locations
5000 Avenue K
Brooklyn, NY 11234
Phone (718) 629-5590
3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171
90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050
110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
233 Lafayette Ave
Ste LL5
Suffern, NY 10901
Phone (914) 794-7741
127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342
2651 Strang Blvd
Ste 100
Yorktown Hts, NY 10598
Phone (845) 216-2232
Philadelphia, PA 19195
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Interoperability endpoints
- akerin197882@direct.optum.com
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Mount Kisco, NY
- NPI 1982643003
Single Specialty
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
Single Specialty
-
- Durable Medical Equipment & Medical Supplies
- New Hyde Park, NY
- NPI 1053190595
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harrison, NY
- NPI 1679883037
-
- General Acute Care Hospital
- Yonkers, NY
- NPI 1477640258
-
- Adult Mental Health Clinic/Center
- Harrison, NY
- NPI 1932419306
Hospital
-
- Adult Mental Health Clinic/Center
- Harrison, NY
- NPI 1578873949
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525132800000",
"number": "1396155883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 CATHARINE ST",
"address_2": "P O BOX 550",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126013100",
"telephone_number": "845-790-2661",
"fax_number": "845-790-2675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 AVENUE K",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112342202",
"telephone_number": "718-250-8259"
}
],
"practiceLocations": [
{
"address_1": "5000 Avenue K",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112342202",
"country_code": "US",
"telephone_number": "718-250-8259",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KERIN",
"first_name": "ATHENA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-06",
"last_updated": "2018-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "NY",
"license": "535903-1",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "535903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.