Active NPI
Jason Lo, CRNA
- Certified Registered Nurse Anesthetist
- Summit, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 26NJ00830900
- Practice address
- 99 Beauvoir Ave
Summit, NJ 07901 - Phone
- (908) 598-1500
- NPI assigned
- Jan 10, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 26NJ00830900 | NJ | Primary |
| Registered Nurse | 163W00000X | 26NR18366700 | NJ |
Addresses
Primary practice location
99 Beauvoir Ave
Summit, NJ 07901
Mailing address
99 Beauvoir Ave
Summit, NJ 07901-3533
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
55 Mdwlands Pkwy
Secaucus, NJ 07094-2977
Phone (917) 681-4963
703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-2000
99 Beauvoir Ave
Summit, NJ 07901-3533
Phone (908) 522-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR18366700 | NJ | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia of New Jersey LLC | Current | Accepting new patients | |
| Canj Anesthesia LLC | Current | Accepting new patients |
Locations
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744
99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232
741 Northfield Ave
West Orange, NJ 07052
Phone (973) 243-9729
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Secaucus, NJ
- NPI 1881353662
-
- Anesthesiology Physician
- Brick, NJ
- NPI 1548433048
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Summit, NJ
- NPI 1740254143
-
- General Acute Care Hospital
- Secaucus, NJ
- NPI 1710491253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557187200000",
"number": "1447767561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 BEAUVOIR AVE",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079013533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 BEAUVOIR AVE",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "07901",
"telephone_number": "908-598-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LO",
"first_name": "JASON",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-10",
"last_updated": "2019-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26NJ00830900",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR18366700",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summit, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.