Individual provider Active NPI

Arlene Diana Riccio, CRNA

  • Certified Registered Nurse Anesthetist
  • Suffern, NY
National Provider Identifier
1407279094
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
641467-01 Issued in NY
Practice address
233 Lafayette Ave Ste 204
Suffern, NY 10901-5620
Phone
(845) 357-5775
Fax
(845) 357-5777
NPI assigned
Feb 2, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2023

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 26NJ00489800 NJ
Certified Registered Nurse Anesthetist 367500000X 641467-01 NY Primary

Addresses

Primary practice location

233 Lafayette Ave Ste 204
Suffern, NY 10901-5620

Mailing address

233 Lafayette Ave Ste 204
Suffern, NY 10901-5620
Phone (845) 357-5775

Other names 1

  • Arlene Diana Witkowski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140618001640 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658595475 Reassigns benefits to 3 organizations
I20190605001906 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658595475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ramapo Anesthesiologists, PCGroup PAC ID 3476444373, 78 clinicians

Practice addresses (Care Compare)

255 Lafayette Ave
Suffern, NY 10901-4812
Phone (845) 357-5775

Hospital & facility affiliations

  • Good Samaritan Hospital of Suffern Hospital, Suffern, NY, CCN 330158

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
641467-01NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Healthcare Specialists PC CurrentSince May 22, 2019 Accepting new patients
Ramapo Anesthesiologists, PC CurrentSince Jun 10, 2019 Accepting new patients
Parkway Anesthesia Associates LLC CurrentSince Aug 1, 2018 Accepting new patients
Northern Valley Anesthesiology, P.a. CurrentSince Mar 31, 2014 Accepting new patients

Locations

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

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

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

974 Route 45
Ste 2000
Pomona, NY 10970
Phone (845) 354-3700

233 Lafayette Ave
Ste 204
Suffern, NY 10901

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

233 Lafayette Ave
Ste LL5
Suffern, NY 10901
Phone (914) 794-7741

100 Route 59
Ste 111
Suffern, NY 10901
Phone (845) 369-9701

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.

Hospital & facility affiliations 1

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": "1391299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1407279094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 LAFAYETTE AVE STE 204",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015620",
            "telephone_number": "845-357-5775",
            "fax_number": "845-357-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 LAFAYETTE AVE STE 204",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015620",
            "telephone_number": "845-357-5775",
            "fax_number": "845-357-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCIO",
        "first_name": "ARLENE",
        "middle_name": "DIANA",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NJ00489800",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "641467-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARLENE",
            "last_name": "WITKOWSKI",
            "middle_name": "DIANA",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.