Individual provider Active NPI

Joshua B. Fogarty, CRNA

  • Certified Registered Nurse Anesthetist
  • Newark, DE
National Provider Identifier
1679915235
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN2361341 Issued in MA
Practice address
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone
(302) 733-1000
NPI assigned
Jul 24, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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 L1-0040469 DE
Certified Registered Nurse Anesthetist 367500000X AC001842 MD
Certified Registered Nurse Anesthetist 367500000X RN2361341 MA Primary

Addresses

Primary practice location

4755 Ogletown Stanton Rd
Newark, DE 19718-2200

Mailing address

9910 Franklin Square Dr Ste 2110
Baltimore, MD 21236-4902
Phone (410) 933-6423

Other practice location 1

600 N Wolfe St
Baltimore, MD 21287-0005
Phone (410) 955-5000

Other practice location 2

41 Mall Rd
Burlington, MA 01805-2200
Phone (781) 744-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, GA, CA, IL4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20161103000721 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 0840434817 Reassigns benefits to 1 organization
I20190423000364 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0840434817 Reassigns benefits to 5 organizations
I20190807003116 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0840434817
I20210816001219 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0840434817 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novus Illinois Service CorporationGroup PAC ID 6901293786, 28 clinicians

Practice addresses (Care Compare)

645 S Central Ave
Chicago, IL 60644-5059
Phone (773) 626-4300

Hospital & facility affiliations

  • Loretto Hospital Hospital, Chicago, IL, CCN 140083

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1-0040469DEMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University Current Accepting new patients
Irwin County Anesthesia, Inc. Nurse Anesthetist, Certified Registered CurrentSince Mar 19, 2019 Accepting new patients
Valley Anesthesia Associates, Inc. CurrentSince Mar 1, 2019 Accepting new patients
Windy City Anesthesia PC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2022 Accepting new patients
Novus Illinois Service Corporation Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2022 Accepting new patients
Johns Hopkins University CurrentSince Oct 6, 2018 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC CurrentSince Jul 2, 2021 Accepting new patients
Columbus Anesthesia Partners LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 27, 2019 Accepting new patients
Windy City Anesthesia PC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2022 Accepting new patients
Johns Hopkins University CurrentSince Oct 6, 2018 Accepting new patients
TMC-West Georgia Anesthesia Associates Inc. Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2020 Accepting new patients
Grand Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 27, 2020 Accepting new patients
Anesthesia Care Services, PA Nurse Anesthetist, Certified Registered CurrentSince Feb 21, 2019 Accepting new patients
JC Anesthesia LLC CurrentSince Aug 1, 2020 Accepting new patients

Locations (25 of 42)

2635 G St
Bakersfield, CA 93301
Phone (661) 633-1500

2620 Chester Ave
Bakersfield, CA 93301
Phone (661) 323-4673

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

195 King Ave
Athens, GA 30606
Phone (706) 543-6261

3320 Old Jefferson Rd
Ste 100
Athens, GA 30607
Phone (706) 353-3600

3215 Shrine Rd
Ste 8
Brunswick, GA 31520
Phone (912) 264-9024

2500 Starling St
Ste 604
Brunswick, GA 31520
Phone (912) 280-9977

3221 Glynn Ave
Unit 100
Brunswick, GA 31520
Phone (912) 466-9111

795 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 629-1852

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

1130 Talbotton Rd
Ste B
Columbus, GA 31904
Phone (706) 327-0700

4159 Mill St NE
Covington, GA 30014
Phone (770) 786-1234

312 Westside Dr
Douglas, GA 31533
Phone 9123842200222

314 Westside Dr
Douglas, GA 31533

6326 Peake Rd
Macon, GA 31210
Phone (478) 246-7474

4660 Riverside Park Blvd
Macon, GA 31210
Phone (478) 471-6300

114 Canal St
Ste 503
Pooler, GA 31322
Phone (843) 310-1055

5669 Ptree Dunwoody Rd NE
Ste 210
Sandy Springs, GA 30342
Phone (404) 255-4333

310 Eisenhower Dr
Ste 7B
Savannah, GA 31406
Phone (912) 355-6503

1035 Southcrest Dr
Ste 250
Stockbridge, GA 30281
Phone (770) 996-9945

615 S Hansell St
Thomasville, GA 31792
Phone (229) 226-2234

1948 Old Ocilla Rd
Ste B
Tifton, GA 31794
Phone (229) 386-5222

1948 Old Ocilla Rd
Tifton, GA 31794
Phone (229) 391-3500

2718 N Oak St
Valdosta, GA 31602
Phone (229) 242-3668

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1679915235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 FRANKLIN SQUARE DR STE 2110",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364902",
            "telephone_number": "410-933-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200",
            "telephone_number": "302-733-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 N Wolfe St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212870005",
            "country_code": "US",
            "telephone_number": "410-955-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41 Mall Rd",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "018052200",
            "country_code": "US",
            "telephone_number": "781-744-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOGARTY",
        "first_name": "JOSHUA",
        "middle_name": "B.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-24",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "DE",
            "license": "L1-0040469",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "AC001842",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN2361341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.