Individual provider Active NPI

Vanessa Quezada Taha, CRNA

  • Certified Registered Nurse Anesthetist
  • Mount Kisco, NY
National Provider Identifier
1497029730
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
89166 Issued in NJ
Practice address
118 N Bedford Rd
Mount Kisco, NY 10549-2553
Phone
(800) 362-6220
NPI assigned
Mar 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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 89166 NJ Primary

Addresses

Primary practice location

118 N Bedford Rd
Mount Kisco, NY 10549-2553

Mailing address

20 Shady Brook CT
Watchung, NJ 07069-6137

Other names 1

  • Maria Vanessa Quezada Bilkey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160330000278 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 5193986180 Reassigns benefits to 3 organizations
I20260102002628 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5193986180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samantha Polikowski Anesthesia IncGroup PAC ID 1951742543, 36 clinicians

Practice addresses (Care Compare)

8705 Complex Dr
Suite 202
San Diego, CA 92123-1401
Phone (858) 302-2502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
89166NJMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Samantha Polikowski Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2025 Accepting new patients
Anesthesia Associates of Morristown PA CurrentSince Apr 1, 2018 Accepting new patients
Parkway Anesthesia Associates LLC CurrentSince Nov 3, 2020 Accepting new patients
Canj Anesthesia LLC CurrentSince Feb 6, 2025 Accepting new patients
North American Partners in Anesthesia of New Jersey LLC CurrentSince May 11, 2019 Accepting new patients

Locations

835 Third Ave
Ste A
Chula Vista, CA 91911
Phone (619) 425-7755

9850 Genesee Ave
Ste 800
La Jolla, CA 92037
Phone (858) 552-9177

25405 Hancock Ave
Ste 103
Murrieta, CA 92562
Phone (909) 698-4670

8705 Complex Dr
Ste 202
San Diego, CA 92123
Phone (858) 302-2502

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

111 Madison Ave
Morristown, NJ 07960
Phone (201) 943-5991

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

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

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

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": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1497029730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SHADY BROOK CT",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N BEDFORD RD",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492553",
            "telephone_number": "800-362-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHA",
        "first_name": "VANESSA",
        "middle_name": "QUEZADA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "89166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA VANESSA",
            "last_name": "BILKEY",
            "middle_name": "QUEZADA",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.