Individual provider Active NPI

Virginia Gori, CRNA

  • Certified Registered Nurse Anesthetist
  • New York, NY
National Provider Identifier
1497964704
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
196527-1 Issued in NY
Practice address
310 E 14TH Street
Ny Eye & Ear Infirmary
New York, NY 10003
Phone
(212) 979-4100
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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 196527-1 NY Primary

Addresses

Primary practice location

310 E 14TH Street
Ny Eye & Ear Infirmary
New York, NY 10003

Mailing address

PO Box 550, 2 Catharine Street
East Manhattan Anesthesic Partners, LLC
Poughkeepsie, NY 12602-0550
Phone (866) 868-8415

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040407000223 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113910902 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
196527-1NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2024 Accepting new patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Feb 10, 2024 Accepting new patients
Suffolk Anesthesiology Associates, PC Past Accepting new patients

Locations

1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313

8745 Lake Street Rd
Le Roy, NY 14482
Phone (585) 267-7570

16 W 25th St
New York, NY 10010
Phone (212) 516-8211

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600

Organizations & group practices 3

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1497964704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550, 2 CATHARINE STREET",
            "address_2": "EAST MANHATTAN ANESTHESIC PARTNERS, LLC",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126020550",
            "telephone_number": "866-868-8415",
            "fax_number": "845-790-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E 14TH STREET",
            "address_2": "NY EYE & EAR INFIRMARY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-979-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORI",
        "first_name": "VIRGINIA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "196527-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.