Active NPI
Cecilia Mary Pallaria, CRNA
- Certified Registered Nurse Anesthetist
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 26NO09530900
- Practice address
- 150 Bergen St
Newark, NJ 07103-2496 - Phone
- (973) 331-0672
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 26NO09530900 | NJ | Primary |
Addresses
Primary practice location
150 Bergen St
Newark, NJ 07103-2496
Mailing address
4 Stonewall LN
Mountain Lakes, NJ 07046-1400
Phone (973) 331-0672
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035079 | Other | NJ | MEDICARE ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4 Valley Health PLZ
Paramus, NJ 07652-3619
Phone (201) 847-9320
703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-2000
99 Beauvoir Ave
Summit, NJ 07901-3533
Phone (908) 522-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NO09530900 | NJ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia of New Jersey LLC | Current | Accepting new patients | |
| Bergen Anesthesia Group, P.C. | Current | Accepting new patients |
Locations
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200
150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056
150 Bergen St
#E245
Newark, NJ 07103
Phone (973) 972-7867
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417
99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232
741 Northfield Ave
West Orange, NJ 07052
Phone (973) 243-9729
Organizations & group practices 2
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.
-
- Specialist
- Ridgewood, NJ
- NPI 1194816249
-
- Anesthesiology Physician
- Brick, NJ
- NPI 1548433048
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paramus, NJ
- NPI 1013912633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210809600000",
"number": "1518094754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 STONEWALL LN",
"city": "MOUNTAIN LAKES",
"state": "NJ",
"postal_code": "070461400",
"telephone_number": "973-331-0672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 BERGEN ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032496",
"telephone_number": "973-331-0672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALLARIA",
"first_name": "CECILIA",
"middle_name": "MARY",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2008-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26NO09530900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "035079",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.