Individual provider Active NPI

Yvonne Marcella Gottlieb, CRNA/APN ANESTHESIA

  • Certified Registered Nurse Anesthetist
  • East Brunswick, NJ
National Provider Identifier
1528248978
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
26NR07692800 Issued in NJ
Practice address
561 Cranbury Rd
University Surgery Center/Metroanesthesia Consultants
East Brunswick, NJ 08816-5400
Phone
(732) 390-4300
Fax
(732) 390-0556
NPI assigned
Nov 13, 2007
Last updated
Oct 26, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00202900 NJ
Certified Registered Nurse Anesthetist 367500000X 26NR07692800 NJ Primary

Addresses

Primary practice location

561 Cranbury Rd
University Surgery Center/Metroanesthesia Consultants
East Brunswick, NJ 08816-5400

Mailing address

22 Dumas Rd
Old Bridge, NJ 08857-1679
Phone (732) 679-7329

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040426000527 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103812961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NR07692800NJMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Digestive Health, LLC CurrentSince Jan 1, 2015 Accepting new patients
Atlantic Coast Gastroenterology Associates Past Accepting new patients

Locations

561 Cranbury Rd
East Brunswick, NJ 08816
Phone (201) 620-3010

365 Broad St
Ste 1E
Red Bank, NJ 07701
Phone (732) 842-4294

365 Broad St
Ste 1W
Red Bank, NJ 07701
Phone (732) 842-4294

1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1528248978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 DUMAS RD",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088571679",
            "telephone_number": "732-679-7329",
            "fax_number": "732-679-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 CRANBURY RD",
            "address_2": "UNIVERSITY SURGERY CENTER/METROANESTHESIA CONSULTANTS",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165400",
            "telephone_number": "732-390-4300",
            "fax_number": "732-390-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTLIEB",
        "first_name": "YVONNE",
        "middle_name": "MARCELLA",
        "name_prefix": "Mrs.",
        "credential": "CRNA/APN ANESTHESIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-13",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00202900",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NR07692800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.