Maksim Ivanouski

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

26NJ00485700 Issued in NJ

Practice address

30B Vreeland Rd
Suite 200 NJ Anesthesia Associates, LLC
Florham Park, NJ 07932-1926

Phone

(937) 660-9334

NPI assigned

Sep 13, 2013

Sex

Male

Sole proprietor

No

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.

• Anesthesia Associates of Morristown PA

  • Specialist
  • Morristown, NJ
  • NPI 1922057678

  NJ

  Medicare reassignment Care Compare group NPD
• Parkway Anesthesia Associates LLC

  • Anesthesiology Physician
  • North Bergen, NJ
  • NPI 1518319755

  NJ

  Medicare reassignment Care Compare group NPD
• Rwjbh Observation Associates LLC

  • Emergency Medicine Physician
  • Livingston, NJ
  • NPI 1760095806

  NJ

  Medicare reassignment Care Compare group NPD
• University Hospital

  • Certified Registered Nurse Anesthetist
  • Newark, NJ
  • NPI 1609045277

  NJ, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Garden State Healthcare Associates, LLC

  • Emergency Medicine Physician
  • Bayonne, NJ
  • NPI 1700014545

  NJ

  Medicare reassignment NPD
• Prime Healthcare Services - St. Mary'S Passaic, LLC

  • General Acute Care Hospital
  • Passaic, NJ
  • NPI 1730508250

  NJ

  Medicare reassignment NPD
• Rutgers Health-RWJ Pediatric Critical Care

  • Family Medicine Physician
  • New Brunswick, NJ
  • NPI 1780766527

  NJ

  Medicare reassignment NPD
• Shrewsbury Ambulatory Anesthesia LLC

  • Anesthesiology Physician
  • Shrewsbury, NJ
  • NPI 1356691885

  NJ

  Medicare reassignment NPD
• University Hospital

  • Community/Retail Pharmacy
  • Newark, NJ
  • NPI 1306596390
  Care Compare group NPD
• University Hospital

  • Acute Care Nurse Practitioner
  • Newark, NJ
  • NPI 1023266962
  Care Compare group
• University Hospital

  • Acute Care Nurse Practitioner
  • Newark, NJ
  • NPI 1033494430
  Care Compare group
• University Hospital

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1215998323
  Care Compare group

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

• Ahs Hospital Corp.

  • General Acute Care Hospital
  • Morristown, NJ
  • NPI 1053384776

  Hospital

  Care Compare affiliation
• HMH Hospitals Corporation

  • General Acute Care Hospital
  • North Bergen, NJ
  • NPI 1730692344

  Hospital

  Care Compare affiliation
• HMH Hospitals Corporation

  • Clinical Medical Laboratory
  • North Bergen, NJ
  • NPI 1952028532

  Hospital

  Care Compare affiliation
• Newark Beth Israel Medical Center Inc

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1215027966

  Hospital

  Care Compare affiliation
• University Hospital

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1215998323

  Hospital

  Care Compare affiliation

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Parkway Anesthesia Associates LLC 313 clinicians

Anesthesia Associates of Morristown PA 168 clinicians

University Hospital 77 clinicians

Rwjbh Observation Associates LLC 995 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Palisades Medical Center Hospital, North Bergen, NJ, CCN 310003
• Newark Beth Israel Medical Center Hospital, Newark, NJ, CCN 310002
• The University Hospital Hospital, Newark, NJ, CCN 310119
• Morristown Medical Center Hospital, Morristown, NJ, CCN 310015

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mivanouski494730@direct.ahsys.org

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 20, 2014.

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1609201268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FALKIRK CT",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088171948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30B VREELAND RD",
            "address_2": "SUITE 200 NJ ANESTHESIA ASSOCIATES, LLC",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321926",
            "telephone_number": "937-660-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVANOUSKI",
        "first_name": "MAKSIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-13",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NJ00485700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sorina Paula Ilie, DDS
• John Tyler Indrikovic, PT, DPT
• Integrated Paincare Center LLP
• Ira Hauptman DPM PC
• Ethan Isidro, MD
• Hariharan Venkatachalam Iyer, M.D.
• J. G. Moreno, MD, LLC
• Gregg Andrew Jacob, D.M.D.
• Julie Jacob, APN
• Karen Sarah Jacob, LCSW

• All providers in Florham Park, NJ
• Certified Registered Nurse Anesthetist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.