Albert W. Adomitis Jr., CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Hazleton, PA
NPI 1619928348 · NPPES record last updated Dec 4, 2009
Key facts
- NPI
- 1619928348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- RN503370 (PA)
- Practice address
- 700 E Broad St
Hazleton, PA 18201-6835 - Phone
- (570) 501-4000
- Fax
- (570) 501-6203
- NPI assigned
- May 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hazleton Anesthesia Services PC
Practice addresses (Care Compare)
2128 Blakeslee Blvd Dr E
Lehighton, PA 18235-9619
Phone (484) 224-9999
700 E Broad St
Hazelton, PA 18201-6835
Phone (570) 501-4000
Hospital & facility affiliations
- Lehigh Valley Hospital - Hazleton
Merit-based Incentive Payment System (MIPS)
- Final score
- 76 of 100
- Quality
- 70
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051219000023 | PA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7315968344 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN503370 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hazleton Anesthesia Services, P.C. | Current |
Accepting new patients |
Locations
700 E Broad St
Hazleton, PA 18201
Phone (570) 501-4000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN503370 | PA | Yes |
Addresses
Primary practice location
700 E Broad St
Hazleton, PA 18201-6835
Mailing address
10 Commerce Dr
New Rochelle, NY 10801-5214
Phone (914) 637-3510
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | PA |
Other providers in Hazleton, PA
- A Better Today, Inc.
- A Woman'S Place OBGYN Associates PC
- Aaron North Inc
- Ashley Nicole Adams
- Scott Joseph Adams
- Advanced Inpatient Medicine
- Advanced Physical Therapy
- Ajit M Chikarmane MD PC
- Joseph A Albertine
- Alcoholism and Drug Services of Lower Luzerne County, Inc.
All providers in Hazleton, PA · Certified Registered Nurse Anesthetist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2009. 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.