Jennifer Jane Ahn, CR NA
Individual provider Active NPI Certified Registered Nurse Anesthetist · New York, NY
NPI 1609129477 · NPPES record last updated Oct 18, 2012
Key facts
- NPI
- 1609129477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 615916-1 (NY)
- Practice address
- 310 E 14TH St
New York Eye & Ear Infirmary
New York, NY 10003-4201 - Phone
- (212) 979-4000
- NPI assigned
- Oct 18, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Missouri, Columbia School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Icahn School of Medicine at Mount Sinai
Practice addresses (Care Compare)
310 E 14 St
New York, NY 10003-4201
Phone (212) 979-4000
Hospital & facility affiliations
- Ny Eye and Ear Infirmary of Mount Sinai
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121207000328 | NY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2668624156 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 615916-1 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles (1 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
Locations
16 W 25th St
#2
New York, NY 10010
Phone (212) 516-8211
310 E 14th St
New York, NY 10003
Phone (212) 979-4000
619 W 54th St
Fl 6
New York, NY 10019
Phone (212) 231-7778
16 W 25th St
New York, NY 10010
Phone (212) 516-8211
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 615916-1 | NY | Yes |
Addresses
Primary practice location
310 E 14TH St
New York Eye & Ear Infirmary
New York, NY 10003-4201
Mailing address
2 Catharine St
P.O. Box 550
Poughkeepsie, NY 12601-3100
Phone (845) 790-2661
Other providers in New York, NY
- Emily Ahn
- Gaeun Ahn
- Hyun Jun Ahn
- Jeffrey Ahn
- Jennifer Ahn
- Jong Seok Ahn
- Jung Hwan Ahn
- Leah Y Ahn
- Linda Su Hyun Ahn
- Nancy Jiyoung Ahn
All providers in New York, NY · Certified Registered Nurse Anesthetist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.