Individual provider Active NPI

Carolyn Gangemi, CRNA

  • Certified Registered Nurse Anesthetist
  • New York, NY
National Provider Identifier
1427267269
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
478706-1 Issued in NY
Practice address
170 William St
New York, NY 10038-2612
Phone
(516) 672-0898
NPI assigned
May 21, 2007
Last updated
May 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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 478706-1 NY Primary
Certified Registered Nurse Anesthetist 367500000X 367500000X NY

Addresses

Primary practice location

170 William St
New York, NY 10038-2612

Mailing address

575 Lexington Ave
New York, NY 10022-6102
Phone (516) 672-0898

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040504001747 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870581135 Reassigns benefits to 2 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
Suffolk Anesthesiology Associates PCGroup PAC ID 6204725740, 78 clinicians

Practice addresses (Care Compare)

50 Route 25a
Smithtown, NY 11787-1348
Phone (631) 862-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
367500000XNYMDAnesthesiology Physician
478706-1NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince May 5, 2025 Accepting new patients
Weill Medical College of Cornell Nurse Anesthetist, Certified Registered CurrentSince May 5, 2025 Accepting new patients
Suffolk Anesthesiology Associates, PC CurrentSince Aug 6, 2002 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Dec 1, 2016 Accepting new patients

Locations

185 Central Ave
Bethpage, NY 11714
Phone (516) 733-7100

2112 Middle Country Rd
Centereach, NY 11720
Phone (631) 247-7463

28 Research Way
East Setauket, NY 11733
Phone (631) 380-2710

340 Broadhollow Rd
Farmingdale, NY 11735
Phone (516) 931-0041

3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171

975 Stewart Ave
Garden City, NY 11530
Phone (516) 222-8600

488 Great Neck Rd
Great Neck, NY 11021
Phone (516) 466-1151

270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308

775 Park Ave
Huntington, NY 11743
Phone (631) 396-1595

200 Old Country Rd
Mineola, NY 11501
Phone (516) 408-4900

61 Southern Blvd
Nesconset, NY 11767
Phone (516) 222-8610

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

170 William St
New York, NY 10038
Phone (212) 238-0100

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

525 E 68th St
#585
New York, NY 10065
Phone (212) 746-2059

131 Merrick Rd
North Merrick, NY 11566
Phone (516) 223-1515

48 Route 25A
Ste 105
Smithtown, NY 11787
Phone (631) 360-4000

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

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

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1427267269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100226102",
            "telephone_number": "516-672-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 WILLIAM ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382612",
            "telephone_number": "516-672-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANGEMI",
        "first_name": "CAROLYN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "478706-1",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "367500000X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.