Active NPI
Glenn James Cavanagh, CRNA
- Certified Registered Nurse Anesthetist
- Poughkeepsie, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 307268
- Practice address
- 45 Reade PL
Poughkeepsie, NY 12601-3947 - Phone
- (845) 454-8500
- NPI assigned
- Sep 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 307268 | NY | Primary |
Addresses
Primary practice location
45 Reade PL
Poughkeepsie, NY 12601-3947
Mailing address
11 Valley View Dr
Cold Spring, NY 10516-4132
Phone (914) 924-3867
Other practice location 1
302 E 72nd St
New York, NY 10021-4772
Phone (914) 924-3867
Other practice location 2
200 Westage Bus Ctr Dr
Fishkill, NY 12524-2264
Phone (845) 838-8411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260226003372 | NY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5496236424 |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- New York Medical College, 1985
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1305 Walt Whitman Rd
Suite 300
Melville, NY 11747-4300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 307268 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia LLP | Current | Accepting new patients |
Locations
7 Southwoods Blvd
Ste 4
Albany, NY 12211
3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770336000000",
"number": "1578759064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 VALLEY VIEW DR",
"city": "COLD SPRING",
"state": "NY",
"postal_code": "105164132",
"telephone_number": "914-924-3867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 READE PL",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126013947",
"telephone_number": "845-454-8500"
}
],
"practiceLocations": [
{
"address_1": "302 E 72nd St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100214772",
"country_code": "US",
"telephone_number": "914-924-3867",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Westage Bus Ctr Dr",
"address_purpose": "LOCATION",
"city": "Fishkill",
"state": "NY",
"postal_code": "125242264",
"country_code": "US",
"telephone_number": "845-838-8411",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAVANAGH",
"first_name": "GLENN",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-19",
"last_updated": "2026-02-06",
"certification_date": "2026-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "307268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; 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.