Active NPI
Stacie Tittamin
- Certified Registered Nurse Anesthetist
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 740498
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NY
Enrollment records 2
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
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 100
- Quality
- 78.69
- Improvement activities
- 40
- Cost
- 74.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR13744500 | NJ | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of Morristown PA | Current | Accepting new patients | |
| North American Partners in Anesthesia LLP | Current | 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.
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
-
- Specialist
- Morristown, NJ
- NPI 1922057678
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1033107743
-
- General Acute Care Hospital
- White Plains, NY
- NPI 1447255153
-
- General Acute Care Hospital
- Morristown, NJ
- NPI 1053384776
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.