Active NPI
Thomas John Hatzidais, CRNA
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 26NJ01011600
- Practice address
- 3400 Civic Center Blvd
Philadelphia, PA 19104-5127 - Phone
- (215) 349-8310
- NPI assigned
- Dec 16, 2018
- Sex
- Male
- Sole proprietor
- No
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 | 26NJ01011600 | NJ | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | RN619491 | PA |
Addresses
Primary practice location
3400 Civic Center Blvd
Philadelphia, PA 19104-5127
Mailing address
3400 Civic Center Blvd
Philadelphia, PA 19104-5127
Phone (215) 349-8310
Other practice location 1
100 Bowman Dr Fl 2
Voorhees, NJ 08043-9612
Phone (856) 988-6260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1 Federal St
Suite Sw200
Camden, NJ 08103-1005
1 Federal St
Suite Sw200
Camden, NJ 08103-1155
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN619491 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
Locations
3 Cooper Plz
Rm 314
Camden, NJ 08103
Phone (609) 963-6770
1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425
1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920
3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770
2 Stone Harbor Blvd
Cape May Court House, NJ 08210
Phone (609) 463-2000
501 Fellowship Rd
Ste 102
Mount Laurel, NJ 08054
Phone (856) 380-1768
900 Centennial Blvd
Bldg 1
Voorhees, NJ 08043
Phone (856) 325-6535
900 Centennial Blvd
Ste E
Voorhees, NJ 08043
Phone (856) 325-6505
218C Sunset Rd
Willingboro, NJ 08046
Phone (609) 877-0400
130 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (484) 337-3000
60 Township Line Rd
Elkins Park, PA 19027
Phone (215) 663-6000
3401 Civic Center Blvd
Ste 9329
Philadelphia, PA 19104
Phone (267) 425-9300
5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405
5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180
3737 Market St
#5
Philadelphia, PA 19104
Phone (215) 662-2739
101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630
3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669
3400 Convention Ave
Philadelphia, PA 19104
Phone (215) 662-2300
701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000
800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867
777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775
Organizations & group practices 14
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.
-
dba CAA Anesthesiology Services
- Pediatric Anesthesiology Physician
- Philadelphia, PA
- NPI 1689779480
-
- Internal Medicine Physician
- Radnor, PA
- NPI 1972682995
-
dba Einstein Psychiatry Assoc
- Psychiatry Physician
- Philadelphia, PA
- NPI 1760434468
-
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1235527342
-
- Pain Medicine (Anesthesiology) Physician
- Camden, NJ
- NPI 1538109913
-
- Anesthesiology Physician
- Camden, NJ
- NPI 1447207147
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1942213525
-
- Psychologist
- West Chester, PA
- NPI 1649940107
-
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
- NPI 1457047433
Nurse Anesthetist, Certified Registered
-
dba Einstein Anesthesia Associates
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1740232321
-
- Dermatopathology Physician
- Philadelphia, PA
- NPI 1073902169
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cooper University Hospital
- Land Ambulance
- Camden, NJ
- NPI 1174976724
Hospital
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1568442309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1588135602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 CIVIC CENTER BLVD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191045127",
"telephone_number": "215-349-8310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 CIVIC CENTER BLVD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191045127",
"telephone_number": "215-349-8310"
}
],
"practiceLocations": [
{
"address_1": "100 Bowman Dr Fl 2",
"address_purpose": "LOCATION",
"city": "Voorhees",
"state": "NJ",
"postal_code": "080439612",
"country_code": "US",
"telephone_number": "856-988-6260",
"fax_number": "856-988-6270",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HATZIDAIS",
"first_name": "THOMAS",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-16",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26NJ01011600",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN619491",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.