Active NPI
Michelle Villanueva
- Certified Registered Nurse Anesthetist
- New Hyde Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4957081
- Practice address
- 19 Quaker St
New Hyde Park, NY 11040-1314 - Phone
- (516) 582-8504
- NPI assigned
- Sep 7, 2010
- Last updated
- Jul 3, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 13193 | CT | |
| Certified Registered Nurse Anesthetist | 367500000X | 4957081 | NY | Primary |
Addresses
Primary practice location
19 Quaker St
New Hyde Park, NY 11040-1314
Mailing address
19 Quaker St
New Hyde Park, NY 11040-1314
Phone (516) 582-8504
Other practice location 1
216 1st St
Mineola, NY 11501-3901
Phone (516) 663-2216
Other practice location 2
20 York St
New Haven, CT 06510-3220
Phone (203) 688-4242
Other names 1
- Ms. Michelle Dimatulac
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mvillanueva344878@nyumc.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1 Healthy Way
Oceanside, NY 11572-1551
Phone (516) 632-3000
111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 85.32
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.36 of 100
- Quality
- 77.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13193 | CT | MD | General Practice Dentistry |
| 4957081 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients | |
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Weill Medical College of Cornell | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Yale University | Current | Accepting new patients | |
| North American Partners in Anesthesia LLP | Current | Accepting new patients | |
| Centurion Midtown Anesthesia PLLC | Current | Accepting new patients | |
| New York Cardiovascular Anesthesiologists, P.C. | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Sedation Vacation Perioperative Medicine PLLC | Current | Accepting new patients | |
| Long Island Anesthesia Physicians LLP | Current | Accepting new patients | |
| New York University | Current | Accepting new patients |
Locations
267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170
50 Division St
New Haven, CT 06511
Phone (203) 785-2140
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
20 York St
North Haven, CT 06510
Phone (203) 688-2433
111 E 210th St
Bronx, NY 10467
1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313
220 N Belle Mead Rd
East Setauket, NY 11733
Phone (516) 681-8400
3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171
8745 Lake Street Rd
Le Roy, NY 14482
Phone (585) 267-7570
259 1st St
Mineola, NY 11501
Phone (516) 576-1820
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
310 E 14th St
New York, NY 10003
Phone (212) 979-4000
525 E 68th St
New York, NY 10065
Phone (212) 746-2846
530 1st Ave
New York, NY 10016
Phone (212) 263-7216
1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581
10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600
200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000
1000 N Village Ave
Ste 508
Rockville Ctr, NY 11570
Phone (516) 764-7900
100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 16
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.
-
dba Mount Sinai Doctors GNY Anes Serv
- Anesthesiology Physician
- New York, NY
- NPI 1447008446
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Anesthesiology Physician
- New York, NY
- NPI 1750087854
-
- Anesthesiology Physician
- Rocky Point, NY
- NPI 1952387276
-
- Anesthesiology Physician
- Roslyn, NY
- NPI 1801834411
-
- Otolaryngology Physician
- New York, NY
- NPI 1851456701
-
- Specialist
- Valley Stream, NY
- NPI 1891235404
-
dba Nyph / WCMC Crna's
- Certified Registered Nurse Anesthetist
- New York, NY
- NPI 1164768305
Nurse Anesthetist, Certified Registered
-
dba Montefiore Community Pharmacy @ CHAM
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
dba NYU Cardiology Associates
- Cardiovascular Disease Physician
- New York, NY
- NPI 1952392961
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1952476988
-
- General Acute Care Hospital
- Oceanside, NY
- NPI 1922079094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719964800000",
"number": "1558678953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 QUAKER ST",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110401314",
"telephone_number": "516-582-8504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 QUAKER ST",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110401314",
"telephone_number": "516-582-8504"
}
],
"practiceLocations": [
{
"address_1": "216 1st St",
"address_purpose": "LOCATION",
"city": "Mineola",
"state": "NY",
"postal_code": "115013901",
"country_code": "US",
"telephone_number": "516-663-2216",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20 York St",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065103220",
"country_code": "US",
"telephone_number": "203-688-4242",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VILLANUEVA",
"first_name": "MICHELLE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-07",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CT",
"license": "13193",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "4957081",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mvillanueva344878@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "216 1st St",
"city": "Mineola",
"state": "NY",
"country_code": "US",
"postal_code": "115013901",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "DIMATULAC",
"prefix": "MS.",
"credential": "R.N.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.