Individual provider Active NPI

Christopher Statuti, CRNA

  • Certified Registered Nurse Anesthetist
  • Egg Harbor Township, NJ
National Provider Identifier
1477545622
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
26NO07723900 Issued in NJ
Practice address
6314 Black Horse Pike
Egg Harbor Township, NJ 08234-5543
Phone
(609) 813-2190
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 26NO07723900 NJ Primary

Addresses

Primary practice location

6314 Black Horse Pike
Egg Harbor Township, NJ 08234-5543

Mailing address

618 Park Place
Galloway, NJ 08205
Phone (609) 404-9292

Other identifiers 1

IdentifierTypeStateIssuer
2471817MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.43 of 100Reported as group
Quality
96.63
Improvement activities
40
Cost
75.91

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NO07723900NJMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Anesthesia, P.C. Past Accepting new patients
South Shore Anesthesia and Pain Past Accepting new patients
Atlanticare Regional Medical Center Past Accepting new patients
Advanced Anesthesia Associates, PC Past Accepting new patients
Rancocas Anesthesiology, P.a. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: christopher.statuticrna.p1@direct.horizoneyecare.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477545622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 PARK PLACE",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "08205",
            "telephone_number": "609-404-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6314 BLACK HORSE PIKE",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345543",
            "telephone_number": "609-813-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATUTI",
        "first_name": "CHRISTOPHER",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NO07723900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2471817",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Egg Harbor Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.