Karen K Chmielewski, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Mount Holly, NJ
NPI 1679517072 · NPPES record last updated Oct 8, 2008
Key facts
- NPI
- 1679517072
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 26NR04980200 (NJ)
- Practice address
- 120 Madison Ave
Mount Holly, NJ 08060-2055 - Phone
- (609) 261-1160
- NPI assigned
- Jun 15, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Professional Service Fund of Deborah- Anesthesia
Practice addresses (Care Compare)
200 Trenton Rd
Browns Mills, NJ 08015-1705
Phone (609) 893-1200
Hospital & facility affiliations
- Deborah Heart and Lung Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081030000000 | NJ | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9436218849 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jersey Shore Anesthesiology Associates PA | Current |
Accepting new patients | |
| Professional Service Fund of Deborah Heart & Lung Center | Current | Accepting new patients | |
| Professional Service Fund of Deborah- Anesthesia | Current |
Accepting new patients |
Locations
200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 26NR04980200 | NJ | Yes |
Addresses
Primary practice location
120 Madison Ave
Mount Holly, NJ 08060-2055
Mailing address
PO Box 95000-2130
Philadelphia, PA 19195-2130
Phone (201) 804-2800
NPI Registry JSON
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223424000000",
"number": "1679517072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95000-2130",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191952130",
"telephone_number": "201-804-2800",
"fax_number": "201-804-8883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 MADISON AVE",
"city": "MOUNT HOLLY",
"state": "NJ",
"postal_code": "080602055",
"telephone_number": "609-261-1160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHMIELEWSKI",
"first_name": "KAREN",
"middle_name": "K",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2008-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26NR04980200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Holly, NJ
- Shakira S Chavis
- Jagjit Chawla
- Hope Cheek
- Surmeet Singh Chhina
- Neelima Chilukuri
- Janice Choi
- Beverly Chorbak
- William Douglas Chrisner
- Christopher R. Cioffi
- Dillon Clancy
All providers in Mount Holly, NJ · Certified Registered Nurse Anesthetist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.