Organization Active NPI

Eastern Pennsylvania Crna Services

  • Certified Registered Nurse Anesthetist
  • Philadelphia, PA
National Provider Identifier
1639280456
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN159329L Issued in PA
Legal business name
EASTERN PENNSYLVANIA CRNA SERVICES
Practice address
700 Cottman Ave
Suite 201
Philadelphia, PA 19111-3062
Phone
(215) 742-6972
Fax
(215) 742-7051
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Benjamin Paul Stewart, CRNA
Title
Nurse Anesthetist
Phone
(856) 829-1371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 367500000X RN159329L PA Primary

Addresses

Primary practice location

700 Cottman Ave
Suite 201
Philadelphia, PA 19111-3062

Mailing address

PO Box 2737
Cinnaminson, NJ 08077-5737
Phone (856) 829-1371

Other identifiers 2

IdentifierTypeStateIssuer
3272535OtherPAAETNA
0298587000OtherPAINDEPENDANCE BLUE CROSS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1639280456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2737",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080775737",
            "telephone_number": "856-829-1371",
            "fax_number": "856-829-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 COTTMAN AVE",
            "address_2": "SUITE 201",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113062",
            "telephone_number": "215-742-6972",
            "fax_number": "215-742-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN PENNSYLVANIA CRNA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "NURSE ANESTHETIST",
        "authorized_official_telephone_number": "856-829-1371",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN159329L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3272535",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDANCE BLUE CROSS",
            "identifier": "0298587000",
            "state": "PA"
        }
    ],
    "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 Sep 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.