Individual provider Active NPI

Igor Zabludovsky, CRNA

  • Certified Registered Nurse Anesthetist
  • Doylestown, PA
National Provider Identifier
1669404158
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
26NJ00822700 Issued in NJ
Practice address
595 W State St
Doylestown, PA 18901-2554
Phone
(215) 348-1523
Fax
(215) 348-9501
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN518877-L PA
Certified Registered Nurse Anesthetist 367500000X 26NJ00822700 NJ Primary

Addresses

Primary practice location

595 W State St
Doylestown, PA 18901-2554

Mailing address

PO Box 477
Fountainville, PA 18923-0477
Phone (215) 348-1523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050518000831 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416998646 Reassigns benefits to 2 organizations
I20200309001320 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416998646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians
Parkway Anesthesia Associates LLCGroup PAC ID 2567758931, 313 clinicians

Practice addresses (Care Compare)

1205 Langhorne Newtown Rd
Suite 103
Langhorne, PA 19047-1220
Phone (215) 750-7700

425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone (732) 840-2200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NJ00822700NJMDCertified Registered Nurse Anesthetist
RN518877-LPAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia PC CurrentSince Mar 1, 2026 Accepting new patients
Cep America - Anesthesia PC CurrentSince Mar 1, 2026 Accepting new patients
Group Anesthesiologists' Services CurrentSince Dec 7, 2004 Accepting new patients
Parkway Anesthesia Associates LLC CurrentSince Feb 13, 2024 Accepting new patients
Clinical Pain Management Associates, PC Past Accepting new patients
Anesthesia Advantage of Delaware, P.a. Nurse Anesthetist, Certified Registered Past Accepting new patients
Delaware Valley Anesthesia Associates, PC Past Accepting new patients

Locations

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

1205 Langhorne Newtown Rd
Ste 103
Langhorne, PA 19047
Phone (215) 750-7490

Organizations & group practices 8

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 2

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1669404158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 477",
            "city": "FOUNTAINVILLE",
            "state": "PA",
            "postal_code": "189230477",
            "telephone_number": "215-348-1523",
            "fax_number": "215-348-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 W STATE ST",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012554",
            "telephone_number": "215-348-1523",
            "fax_number": "215-348-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABLUDOVSKY",
        "first_name": "IGOR",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN518877-L",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NJ00822700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.

Verify at the official NPI Registry.