Active NPI
Keesha M Duncan, CRNA
- Certified Registered Nurse Anesthetist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 491257-1
- Practice address
- 506 6TH Street
Ny Methodist Hospital
Brooklyn, NY 11215 - Phone
- (718) 780-3279
- NPI assigned
- Dec 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 26NR09715200 | NJ | |
| Certified Registered Nurse Anesthetist | 367500000X | 491257-1 | NY | Primary |
Addresses
Primary practice location
506 6TH Street
Ny Methodist Hospital
Brooklyn, NY 11215
Mailing address
P.O. Box 550
2 Catharine Street, Park Slope Anesthesia Associates, P
Poughkeepsie, NY 12602
Phone (866) 868-8416
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A400012645 | Other | NY | MEDICARE PTAN |
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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Bergen St
245 Dept of Anesthesiology
Newark, NJ 07101-2496
Phone (973) 972-7867
30 Prospect Ave
Hackensack, NJ 07601-1914
Phone (201) 488-0066
350 Boulevard
Passaic, NJ 07055-2840
Phone (973) 365-4300
40 Prospect Ave
Hackensack, NJ 07601-1915
Phone (954) 939-5000
65 James St
Edison, NJ 08820-3947
Phone (201) 854-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 491257-1 | NY | 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 | |
| Prime Healthcare Services - St. Mary'S Passaic, LLC | Current | Accepting new patients | |
| Prime Healthcare Services - St. Mary'S Passaic LLC | Current | Accepting new patients | |
| St Marys General Medical Group PC | Current | Accepting new patients |
Locations
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224
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
111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
150 Bergen St
#E245
Newark, NJ 07103
Phone (973) 972-7867
350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
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.
-
- Internal Medicine Physician
- Passaic, NJ
- NPI 1477261741
-
- Anesthesiology Physician
- Hackensack, NJ
- NPI 1174585780
-
- Certified Registered Nurse Anesthetist
- Newark, NJ
- NPI 1609045277
-
- General Acute Care Hospital
- Passaic, NJ
- NPI 1730508250
-
- Anesthesiology Physician
- Brick, NJ
- NPI 1548433048
-
- General Acute Care Hospital
- Passaic, NJ
- NPI 1770901761
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Edison, NJ
- NPI 1144894577
-
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
-
- General Acute Care Hospital
- Passaic, NJ
- NPI 1770901761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247788800000",
"number": "1528241114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 550",
"address_2": "2 CATHARINE STREET, PARK SLOPE ANESTHESIA ASSOCIATES, P",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "12602",
"telephone_number": "866-868-8416",
"fax_number": "845-790-2675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 6TH STREET",
"address_2": "NY METHODIST HOSPITAL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11215",
"telephone_number": "718-780-3279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "KEESHA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-06",
"last_updated": "2009-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26NR09715200",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "491257-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "A400012645",
"state": "NY"
}
],
"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 Jul 17, 2009; 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.