Individual provider Active NPI

Adam C Gossar, CRNA

  • Certified Registered Nurse Anesthetist
  • Bethlehem, PA
National Provider Identifier
1619251378
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN585177 Issued in PA
Practice address
801 Ostrum St
Bethlehem, PA 18015-1065
Phone
(610) 954-5810
Fax
(610) 954-5480
NPI assigned
Sep 29, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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 RN585177 PA Primary

Addresses

Primary practice location

801 Ostrum St
Bethlehem, PA 18015-1065

Mailing address

PO Box 5520
Bethlehem, PA 18015-0520

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111228000721 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183890999 Reassigns benefits to 1 organization
I20170822000595 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183890999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Specialists of Warren, LLCGroup PAC ID 5294006250, 33 clinicians
Anesthesia Specialists of Bethlehem PCGroup PAC ID 1355254533, 283 clinicians

Practice addresses (Care Compare)

185 Roseberry St
Phillipsburg, NJ 08865-1690
Phone (908) 847-6700

1872 St Lukes Blvd
Easton, PA 18045-5669
Phone (866) 785-8537

250 S 21St St
Easton, PA 18042-3851
Phone (610) 250-4000

801 Ostrum St
Bethlehem, PA 18015-1065
Phone (610) 954-5810

Hospital & facility affiliations

  • St Luke'S Warren Hospital Hospital, Phillipsburg, NJ, CCN 310060
  • St Luke'S Hospital - Easton Campus Hospital, Easton, PA, CCN 390162
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Specialists of Bethlehem, PC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2011 Accepting new patients
Anesthesia Specialists of Warren, LLC CurrentSince Aug 1, 2017 Accepting new patients

Locations

185 Roseberry St
Phillipsburg, NJ 08865
Phone (908) 213-6611

1 W Broad St
Ste 506
Bethlehem, PA 18018
Phone 6109545810 ext. 3

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Organizations & group practices 2

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.

Hospital & facility affiliations 8

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": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1619251378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5520",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180150520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151065",
            "telephone_number": "610-954-5810",
            "fax_number": "610-954-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSSAR",
        "first_name": "ADAM",
        "middle_name": "C",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-29",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN585177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.