Individual provider Active NPI

Stacie Tittamin

  • Certified Registered Nurse Anesthetist
  • Syracuse, NY
National Provider Identifier
1669096707
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
740498 Issued in NY
Practice address
736 Irving Ave
Syracuse, NY 13210-1602
Phone
(315) 440-7111
NPI assigned
Jun 4, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 26NJ01041100 NJ
Certified Registered Nurse Anesthetist 367500000X 740498 NY Primary
Registered Nurse 163W00000X 26NR13744500 NJ

Addresses

Primary practice location

736 Irving Ave
Syracuse, NY 13210-1602

Mailing address

24 Monhegon Ave
Rockaway, NJ 07866-1808

Other practice location 1

475 Irving Ave
Syracuse, NY 13210-1756
Phone (315) 475-8401

Other practice location 2

621 10th St
Niagara Falls, NY 14301-1813
Phone (716) 278-4000

Other practice location 3

725 Irving Ave
Syracuse, NY 13210-1603
Phone (315) 470-7994

Other practice location 4

355 Bard Ave
Staten Island, NY 10310-1664
Phone (718) 818-1234

Other practice location 5

41 E Post Rd
White Plains, NY 10601-4607
Phone (914) 681-0600

Other practice location 6

226 Westchester Ave
White Plains, NY 10604-2917
Phone (914) 437-9910

Other practice location 7

100 McGregor St
Manchester, NH 03102-3730
Phone (603) 668-3545

Other practice location 8

100 Madison Ave
Morristown, NJ 07960-6136
Phone (800) 991-9133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200909003459 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103244058 Reassigns benefits to 1 organization
I20230824003988 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103244058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Morristown PAGroup PAC ID 7315906591, 168 clinicians
North American Partners in Anesthesia LLPGroup PAC ID 7719885771, 427 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5539

736 Irving Ave
Syracuse, NY 13210-1602
Phone (315) 470-7111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.76 of 100Reported as group
Quality
78.69
Improvement activities
40
Cost
74.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NR13744500NJMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Morristown PA CurrentSince Sep 8, 2020 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Jul 12, 2023 Accepting new patients

Locations

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

111 Madison Ave
Morristown, NJ 07960
Phone (201) 943-5991

7 Southwoods Blvd
Ste 4
Albany, NY 12211

3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

621 10th St
North Falls, NY 14301
Phone (716) 278-4000

355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380

725 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

475 Irving Ave
Syracuse, NY 13210
Phone (315) 234-9679

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

226 Westchester Ave
White Plains, NY 10604
Phone (914) 437-9910

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 3

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": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1669096707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MONHEGON AVE",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078661808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 IRVING AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101602",
            "telephone_number": "315-440-7111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Irving Ave",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132101756",
            "country_code": "US",
            "telephone_number": "315-475-8401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "621 10th St",
            "address_purpose": "LOCATION",
            "city": "Niagara Falls",
            "state": "NY",
            "postal_code": "143011813",
            "country_code": "US",
            "telephone_number": "716-278-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "725 Irving Ave",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132101603",
            "country_code": "US",
            "telephone_number": "315-470-7994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "355 Bard Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103101664",
            "country_code": "US",
            "telephone_number": "718-818-1234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41 E Post Rd",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106014607",
            "country_code": "US",
            "telephone_number": "914-681-0600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "226 Westchester Ave",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106042917",
            "country_code": "US",
            "telephone_number": "914-437-9910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 McGregor St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031023730",
            "country_code": "US",
            "telephone_number": "603-668-3545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079606136",
            "country_code": "US",
            "telephone_number": "800-991-9133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TITTAMIN",
        "first_name": "STACIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-04",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NJ01041100",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "740498",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR13744500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.