Individual provider Active NPI

Grace Abogunrin, CRNA

  • Certified Registered Nurse Anesthetist
  • Bronx, NY
National Provider Identifier
1578826244
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
594584 Issued in NY
Practice address
1650 Grand Concourse
Dept of Anesthesia
Bronx, NY 10457-7606
Phone
(718) 466-8153
NPI assigned
Jun 19, 2012
Last updated
Jun 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 594584 NY Primary

Addresses

Primary practice location

1650 Grand Concourse
Dept of Anesthesia
Bronx, NY 10457-7606

Mailing address

68 S Service Rd
Suite 350
Melville, NY 11747-2354
Phone (516) 945-3156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120820001061 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 5294982625 Reassigns benefits to 8 organizations
I20201201000037 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 5294982625 Reassigns benefits to 4 organizations

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
Parkway Anesthesia Associates LLCGroup PAC ID 2567758931, 313 clinicians
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians
Singular Anesthesia Services PLLCGroup PAC ID 7618284092, 72 clinicians
New Jersey Healthcare Specialists PCGroup PAC ID 2668385253, 570 clinicians
Rwjbh Observation Associates LLCGroup PAC ID 5193137503, 995 clinicians

Practice addresses (Care Compare)

425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone (732) 840-2200

506 Lenox Ave
New York, NY 10037-1802
Phone (212) 939-1840

55 Palmer Ave
Bronxville, NY 10708-3403
Phone (914) 787-1000

65 James St
Edison, NJ 08820-3947
Phone (201) 854-5000

94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (732) 369-5994

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
594584NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Mar 17, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Mar 18, 2021 Accepting new patients
New York University CurrentSince May 17, 2022 Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care CurrentSince Nov 30, 2022 Accepting new patients
New Jersey Healthcare Specialists PC CurrentSince Jul 1, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Mar 18, 2021 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Oct 1, 2018 Accepting new patients
Parkway Anesthesia Associates LLC CurrentSince Oct 24, 2020 Accepting new patients
North American Partners in Anesthesia of New Jersey LLC CurrentSince Nov 7, 2021 Accepting new patients
Upstate Anesthesia Services, P.C. CurrentSince Feb 6, 2023 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Sep 5, 2021 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Oct 1, 2018 Accepting new patients
Rwjbh Observation Associates LLC CurrentSince Jun 22, 2024 Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care CurrentSince Nov 30, 2022 Accepting new patients
MPG Medical Services, PLLC CurrentSince Jul 23, 2013 Accepting new patients
Trustees of Columbia University in the City of New York Nurse Anesthetist, Certified Registered CurrentSince Oct 26, 2015 Accepting new patients
New York University Current Accepting new patients
Singular Anesthesia Services, PLLC CurrentSince Dec 18, 2023 Accepting new patients
New York University CurrentSince May 17, 2022 Accepting new patients

Locations (25 of 36)

65 James St
Edison, NJ 08820
Phone (732) 321-7010

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

10 Plum St
#G
New Brunswick, NJ 08901
Phone (732) 937-8841

125 Paterson St
Ste 6140
New Brunswick, NJ 08901
Phone (732) 235-6230

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

7 Southwoods Blvd
Ste 4
Albany, NY 12211

111 E 210th St
Bronx, NY 10467

1250 Waters Pl
Bronx, NY 10461
Phone (718) 409-9444

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

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

301 Hurley Ave
Kingston, NY 12401
Phone (845) 309-7597

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: gabogunrin7871@nychhc.direct-ci.com
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1578826244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 S SERVICE RD",
            "address_2": "SUITE 350",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472354",
            "telephone_number": "516-945-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 GRAND CONCOURSE",
            "address_2": "DEPT OF ANESTHESIA",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104577606",
            "telephone_number": "718-466-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOGUNRIN",
        "first_name": "GRACE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "594584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.