Active NPI
Alex S Liddar, CRNA
- Certified Registered Nurse Anesthetist
- Bridgeport, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 190755
- Practice address
- 2800 Main St
Bridgeport, CT 06606-4292 - Phone
- (203) 576-6000
- NPI assigned
- Feb 13, 2024
- Last updated
- Jul 10, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 190755 | CT | Primary |
Addresses
Primary practice location
2800 Main St
Bridgeport, CT 06606-4292
Mailing address
99 East River Drive
5TH Floor
East Hatford, CT 06108-7301
Phone (860) 282-0833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Healthy Way
Oceanside, NY 11572-1551
Phone (516) 632-3000
4295 Hempstead Tpke
Bethpage, NY 11714-5713
Phone (516) 579-6000
530 1St Ave
New York, NY 10016-6402
550 1St Ave
New York, NY 10016-6402
Phone (212) 263-6037
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 190755 | CT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| CHS Physician Partners, P.C | Current | Accepting new patients | |
| CHS Physician Partners, PC | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| CHS Physician Partners, PC | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Integrated Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| New York University | Current | Accepting new patients |
Locations
2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366
80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249
99 E River Dr
Fl 5
Hartford, CT 06108
Phone (860) 282-4022
2 Corporate Dr
Ste 955
Shelton, CT 06484
Phone (203) 929-7375
4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250
310 E 14th St
New York, NY 10003
Phone (212) 979-4000
530 1st Ave
New York, NY 10016
Phone (212) 263-7216
1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Organizations & group practices 8
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.
-
dba Cardiac Interventional Group
- Interventional Cardiology Physician
- Fresh Meadows, NY
- NPI 1407089345
-
dba Mount Sinai Doctors GNY Anes Serv
- Anesthesiology Physician
- New York, NY
- NPI 1447008446
Nurse Anesthetist, Certified Registered
-
- Otolaryngology Physician
- New York, NY
- NPI 1851456701
-
- Anesthesiology Physician
- Shelton, CT
- NPI 1881636397
Nurse Anesthetist, Certified Registered
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
-
dba Bellmore Family Practice
- Family Medicine Physician
- Bellmore, NY
- NPI 1720334527
-
dba NYU Langone Ambulatory Care Chelsea
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
dba NYU Anesthesia Associates
- Anesthesiology Physician
- Boynton Beach, FL
- NPI 1952392946
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- New York, NY
- NPI 1275632895
-
dba NYU Langone Hospital Long Island
- General Acute Care Hospital
- Mineola, NY
- NPI 1427616002
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1619341716
-
- General Acute Care Hospital
- New York, NY
- NPI 1669578324
-
- General Acute Care Hospital
- New York, NY
- NPI 1801992631
-
- General Acute Care Hospital
- Oceanside, NY
- NPI 1922079094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1457116097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 EAST RIVER DRIVE",
"address_2": "5TH FLOOR",
"city": "EAST HATFORD",
"state": "CT",
"postal_code": "061087301",
"telephone_number": "860-282-0833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 MAIN ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066064292",
"telephone_number": "203-576-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIDDAR",
"first_name": "ALEX",
"middle_name": "S",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-13",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CT",
"license": "190755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.