Individual provider Active NPI

Boris Porshnev, DNP CRNA

  • Certified Registered Nurse Anesthetist
  • Brooklyn, NY
National Provider Identifier
1518449693
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
119484 Issued in NJ
Practice address
2680 E 19TH St Apt 4L
Brooklyn, NY 11235-3306
Phone
(347) 693-3995
NPI assigned
Sep 5, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 635226-1 NY
Certified Registered Nurse Anesthetist 367500000X 119484 NJ Primary

Addresses

Primary practice location

2680 E 19TH St Apt 4L
Brooklyn, NY 11235-3306

Mailing address

99 Beauvoir Ave
Summit, NJ 07901-3533
Phone (347) 693-3995

Other practice location 1

99 Beauvoir Ave
Summit, NJ 07901-3533
Phone (908) 522-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191017002385 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 1153652433 Reassigns benefits to 5 organizations
I20191018002258 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 1153652433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Morristown PAGroup PAC ID 7315906591, 168 clinicians
New Jersey Healthcare Specialists PCGroup PAC ID 2668385253, 570 clinicians
North American Partners in Anesthesia of New Jersey LLCGroup PAC ID 5890867410, 156 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5539

65 James St
Edison, NJ 08820-3947
Phone (201) 854-5000

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

  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108

Merit-based Incentive Payment System (MIPS)

Final score
80.76 of 100Reported as group
Quality
78.69
Improvement activities
40
Cost
74.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
635226-1NYMDRegistered Nurse
119484NJMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Morristown PA CurrentSince Dec 1, 2023 Accepting new patients
New Jersey Healthcare Specialists PC CurrentSince Oct 1, 2024 Accepting new patients
North Shore - Lij Anesthesiology, PC CurrentSince Oct 16, 2019 Accepting new patients
North American Partners in Anesthesia of New Jersey LLC CurrentSince Feb 1, 2021 Accepting new patients

Locations

65 James St
Edison, NJ 08820
Phone (732) 321-7010

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

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

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

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

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

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

741 Northfield Ave
West Orange, NJ 07052
Phone (973) 243-9729

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

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

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

Organizations & group practices 6

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 4

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": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1518449693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 BEAUVOIR AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013533",
            "telephone_number": "347-693-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 E 19TH ST APT 4L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353306",
            "telephone_number": "347-693-3995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 Beauvoir Ave",
            "address_purpose": "LOCATION",
            "city": "Summit",
            "state": "NJ",
            "postal_code": "079013533",
            "country_code": "US",
            "telephone_number": "908-522-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORSHNEV",
        "first_name": "BORIS",
        "credential": "DNP CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-05",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "635226-1",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "119484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.