Active NPI
Kevin M Lafferty, CRNA
- Certified Registered Nurse Anesthetist
- Berkeley Heights, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 26NJ15000600
- Practice address
- 1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104 - Phone
- (908) 273-4300
- NPI assigned
- Dec 5, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 26NJ15000600 | NJ | Primary |
Addresses
Primary practice location
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Mailing address
160 Maplewood Ave Apt 14
Maplewood, NJ 07040-2699
Phone (302) 898-0351
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group PA | Current | Accepting new patients | |
| Associates in Anesthesia, Inc. | Current | Accepting new patients | |
| Summit Medical Group PA | Current | Accepting new patients | |
| Associates in Anesthesia | Past | Accepting new patients |
Locations
1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868
150 Floral Ave
New Providence, NJ 07974
Phone (908) 588-3890
1212 Baltimore Pike
Ste 200
Chadds Ford, PA 19317
Phone (610) 874-4147
30 Medical Center Blvd
Ste 305
Chester, PA 19013
Phone (610) 619-7411
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/0d26bd04-9128-4f58-8e6d-ffda5cd00f89/
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Berkeley Heights, NJ
- NPI 1942254347
-
- Anesthesiology Physician
- Chadds Ford, PA
- NPI 1942281191
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1043930555
-
- Anesthesiology Physician
- Chadds Ford, PA
- NPI 1336470467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1659815041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 MAPLEWOOD AVE APT 14",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070402699",
"telephone_number": "302-898-0351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 DIAMOND HILL RD",
"city": "BERKELEY HEIGHTS",
"state": "NJ",
"postal_code": "079222104",
"telephone_number": "908-273-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAFFERTY",
"first_name": "KEVIN",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-05",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26NJ15000600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley Heights, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.