Individual provider Active NPI

John Felizzi, CRNA

  • Certified Registered Nurse Anesthetist
  • Wilmington, DE
National Provider Identifier
1417933649
Registry record updated Jan 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN519659L Issued in PA
Practice address
2006 Limestone Rd
Ste 5
Wilmington, DE 19808-5553
Phone
(302) 995-1860
Fax
(302) 995-5421
NPI assigned
Dec 20, 2005
Last updated
Jan 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2018

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 L6-0A00379 DE
Certified Registered Nurse Anesthetist 367500000X RN519659L PA Primary

Addresses

Primary practice location

2006 Limestone Rd
Ste 5
Wilmington, DE 19808-5553

Mailing address

P.O. Box 1115
Ultracare Anesthesia
Turnersville, NJ 08012
Phone (844) 448-5872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA, DE3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040901000162 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 0749255818 Reassigns benefits to 3 organizations
I20050706000537 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0749255818 Reassigns benefits to 3 organizations
I20140325001640 DE Practitioner - Certified Registered Nurse Anesthetist (Crna) 0749255818

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
Ultracare Anesthesia Partners LLCGroup PAC ID 4082920525, 78 clinicians

Practice addresses (Care Compare)

9500 Roosevelt Blvd
Philadelphia, PA 19115-3926
Phone (844) 448-5872

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1000DEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Resolute Perioperative Services LLC CurrentSince Mar 1, 2022 Accepting new patients
GSC Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Oct 25, 2021 Accepting new patients
Spinal Care Pain Associates, P.C. CurrentSince Sep 1, 2014 Accepting new patients
Ultracare Anesthesia Partners LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 31, 2016 Accepting new patients
Society Hill Anesthesia Consultants, PC CurrentSince Aug 1, 2017 Accepting new patients
South Jersey Anesthesia and Pain Physicians PC CurrentSince Jan 1, 2020 Accepting new patients
Anesthesia Services PA Past Accepting new patients
Society Hill Anesthesia Consultants of New Jersey, PC Past Accepting new patients
Penn Valley Anesthesia Past Accepting new patients
Delaware Valley Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Virtua Medical Group, PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Professional Anesthesia Consultants, PC Past Accepting new patients

Locations

1400 Marlton Pike E
Ste 2
Cherry Hill, NJ 08034

22 Old Short Hills Rd
Ste 112
Livingston, NJ 07039
Phone (973) 294-6185

336 Woodstown Rd
Salem, NJ 08079
Phone (856) 339-4220

1051 W Sherman Ave
Ste 2A
Vineland, NJ 08360
Phone (856) 205-1770

2 Van Buren Rd
Voorhees, NJ 08043
Phone (856) 770-0800

93 Cooper Rd
Ste 100
Voorhees, NJ 08043
Phone (856) 358-4520

509 N Broad St
Woodbury, NJ 08096
Phone (856) 686-5396

1800 Byberry Rd
Ste 1101
Huntingdon Vy, PA 19006
Phone (215) 947-7992

317 W Germantown Pike
Ste 102
Norristown, PA 19403
Phone (215) 499-4659

2000 Grant Ave
Ste 101
Philadelphia, PA 19115
Phone (215) 990-6002

230 W Washington Sq
Fl 4
Philadelphia, PA 19106
Phone (215) 829-3561

2410 S Broad St
Fl 3
Philadelphia, PA 19145
Phone (215) 462-6600

9500 Roosevelt Blvd
Philadelphia, PA 19115
Phone (215) 969-1048

800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516320000000",
    "number": "1417933649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1115",
            "address_2": "ULTRACARE ANESTHESIA",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "08012",
            "telephone_number": "844-448-5872",
            "fax_number": "302-995-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 LIMESTONE RD",
            "address_2": "STE 5",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085553",
            "telephone_number": "302-995-1860",
            "fax_number": "302-995-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELIZZI",
        "first_name": "JOHN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2018-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "DE",
            "license": "L6-0A00379",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN519659L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.