Active NPI
Enock Nyamoti, CRNA
- Certified Registered Nurse Anesthetist
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 653713
- Practice address
- 355 Bard Ave
Staten Island, NY 10310-1664 - Phone
- (718) 818-1234
- NPI assigned
- Jan 22, 2015
- Last updated
- May 6, 2025
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2020038995 | MO | |
| Certified Registered Nurse Anesthetist | 367500000X | AP128147 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | 653713 | NY | Primary |
| Registered Nurse | 163W00000X | 653713 | NY |
Addresses
Primary practice location
355 Bard Ave
Staten Island, NY 10310-1664
Mailing address
100 Hospital Dr
Lebanon, MO 65536-9210
Phone (417) 533-6026
Other practice location 1
100 W US Highway 60
Mountain View, MO 65548-8542
Phone (417) 934-7000
Other practice location 2
1605 Martin Springs Dr Ste 160
Rolla, MO 65401-3026
Phone (573) 458-6637
Other practice location 3
100 Hospital Dr
Lebanon, MO 65536-9210
Phone (417) 533-6026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, MO
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3100 Oak Grove Rd
Poplar Bluff, MO 63901-1573
Phone (573) 776-9290
315 S Osteopathy Ave
Kirksville, MO 63501-6401
Phone (660) 785-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020038995 | MO | MD | Certified Registered Nurse Anesthetist |
| AP128147 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Medical Management Corp | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Midwest Anesthesia Providers S.C | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Missouri HB Medical Services, LLC | Current | Accepting new patients | |
| Mercy Hospital Lebanon | Past | Accepting new patients |
Locations
3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000
11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000
1324 Motor Pkwy
Ste 101
Islandia, NY 11749
Phone (516) 850-8143
16203 Jamaica Ave
Ste 200
Jamaica, NY 11432
Phone (347) 429-7699
300 Old Country Rd
Fl 4
Mineola, NY 11501
Phone (516) 747-9232
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Poplar Bluff, MO
- NPI 1922868462
-
- Certified Registered Nurse Anesthetist
- Port Jefferson Station, NY
- NPI 1114502606
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1295189082
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
-
dba Mercy Surgery Center-Lebanon at Rolla
- Ambulatory Surgical Clinic/Center
- Rolla, MO
- NPI 1043562358
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northeast Regional Medical Center
- General Acute Care Hospital
- Kirksville, MO
- NPI 1104899442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746489600000",
"number": "1467842898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HOSPITAL DR",
"city": "LEBANON",
"state": "MO",
"postal_code": "655369210",
"telephone_number": "417-533-6026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 BARD AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103101664",
"telephone_number": "718-818-1234"
}
],
"practiceLocations": [
{
"address_1": "100 W US Highway 60",
"address_purpose": "LOCATION",
"city": "Mountain View",
"state": "MO",
"postal_code": "655488542",
"country_code": "US",
"telephone_number": "417-934-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1605 Martin Springs Dr Ste 160",
"address_purpose": "LOCATION",
"city": "Rolla",
"state": "MO",
"postal_code": "654013026",
"country_code": "US",
"telephone_number": "573-458-6637",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "MO",
"postal_code": "655369210",
"country_code": "US",
"telephone_number": "417-533-6026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NYAMOTI",
"first_name": "ENOCK",
"name_prefix": "Dr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-22",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2020038995",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP128147",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "653713",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "653713",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, 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.