Active NPI
Odessa Urbiztondo, CRNA
- Certified Registered Nurse Anesthetist
- Camden, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 26NJ00251100
- Practice address
- 1600 Haddon Ave FL 3
Camden, NJ 08103-3101 - Phone
- (856) 988-6260
- NPI assigned
- Sep 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 26NJ00251100 | NJ | Primary |
Addresses
Primary practice location
1600 Haddon Ave FL 3
Camden, NJ 08103-3101
Mailing address
301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340
Other practice location 1
200 Trenton Road
Brownsville, NJ 08015
Phone (609) 893-6611
Other names 1
- Odessa De Guzman
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, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 Haddon Ave
Camden, NJ 08103-3101
3242 Route 206
Bordentown, NJ 08505-4517
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00251100 | NJ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Atlantic Anesthesia Associates PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Professional Service Fund of Deborah- Anesthesia | Current | Accepting new patients | |
| Professional Service Fund of Deborah Heart & Lung Center | Current | Accepting new patients | |
| Anesthesia Services PA | Past | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200
1600 Haddon Ave
Camden, NJ 08103
Phone (609) 757-3500
1600 Haddon Ave
#L
Camden, NJ 08103
Phone (856) 757-3500
1600 Haddon Ave
Fl 3
Camden, NJ 08103
Phone (609) 988-6260
301 Lippincott Dr
Ste 410
Marlton, NJ 08053
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.
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Camden, NJ
- NPI 1366486508
-
- Specialist
- Browns Mills, NJ
- NPI 1902852015
-
- Specialist
- Browns Mills, NJ
- NPI 1407803596
-
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
-
- Anesthesiology Physician
- New Castle, DE
- NPI 1053366377
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1235134024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1578654190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 LIPPINCOTT DR STE 410",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534197",
"telephone_number": "856-355-0340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 HADDON AVE FL 3",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081033101",
"telephone_number": "856-988-6260"
}
],
"practiceLocations": [
{
"address_1": "200 Trenton Road",
"address_purpose": "LOCATION",
"city": "Brownsville",
"state": "NJ",
"postal_code": "08015",
"country_code": "US",
"telephone_number": "609-893-6611",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "URBIZTONDO",
"first_name": "ODESSA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26NJ00251100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ODESSA",
"last_name": "DE GUZMAN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.