Individual provider Active NPI

Ethelia McKay

  • Certified Registered Nurse Anesthetist
  • Elmhurst, NY
National Provider Identifier
1487699054
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
421768 Issued in NY
Practice address
9002 Queens Blvd
Elmhurst, NY 11373-4941
Phone
(718) 558-1870
NPI assigned
Jun 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 421768 NY Primary

Addresses

Primary practice location

9002 Queens Blvd
Elmhurst, NY 11373-4941

Mailing address

744 W Michigan Ave
Jackson, MI 49201-1909
Phone (517) 787-6440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040422000462 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 7719973007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1997
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
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Suffolk Anesthesiology Associates, PC CurrentSince Oct 1, 2005 Accepting new patients
University Hospital at Stony Brook Current Accepting new patients
Maimonides Department of Psychiatry FPP Past Accepting new patients
Anesthesiology Associates of Boro Park, LLP Nurse Anesthetist, Certified Registered Past Accepting new patients
Boulevard Anesthesia Associates, PC Past Accepting new patients
Office Based Anesthesia LLC Past Accepting new patients
Island Medical Pain Management Services PC Past Accepting new patients

Locations

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

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

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

400 Townline Rd
Ste 135
Hauppauge, NY 11788
Phone (631) 360-0266

125 Kennedy Dr
Ste 300
Hauppauge, NY 11788
Phone (934) 223-4500

61 Southern Blvd
Nesconset, NY 11767
Phone (631) 659-1700

1991 Marcus Ave
Ste 1010
New Hyde Park, NY 11042
Phone (631) 360-4000

9785 Queens Blvd
Rego Park, NY 11374
Phone (631) 360-0266

889 E Main St
Ste 308
Riverhead, NY 11901
Phone (631) 386-3500

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

373 Route 111
Ste 7
Smithtown, NY 11787
Phone (631) 360-4000

Interoperability endpoints

  • Direct secure messaging: ethelia.mckay@direct.stonybrookmedicine.edu

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1487699054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011909",
            "telephone_number": "517-787-6440",
            "fax_number": "517-787-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9002 QUEENS BLVD",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734941",
            "telephone_number": "718-558-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "ETHELIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "421768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.