Active NPI
Robert Mirynowski, CRNA
- Certified Registered Nurse Anesthetist
- Freehold, NJ
National Provider Identifier
1689685232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 26NJ00183300
- Practice address
- 901 W Main St BLDG B
Freehold, NJ 07728-2537 - Phone
- (732) 303-1616
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 26N007829700 | NJ | |
| Certified Registered Nurse Anesthetist | 367500000X | 26NJ00183300 | NJ | Primary |
Addresses
Primary practice location
901 W Main St BLDG B
Freehold, NJ 07728-2537
Mailing address
882 Elton Adelphia Rd
Freehold, NJ 07728-8616
Phone (732) 740-2357
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26N007829700 | NJ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shrewsbury Ambulatory Anesthesia LLC | Current | Accepting new patients | |
| Toms River Ambulatory Anesthesia LLC | Current | Accepting new patients | |
| Toms River Ambulatory Anesthesia LLC | Current | Accepting new patients | |
| Allied Digestive Health, LLC | Past | Accepting new patients | |
| Associated Pain Specialists, LLC | Past | Accepting new patients |
Locations
3613 State Route 33
Neptune, NJ 07753
Phone (732) 275-7779
655 Shrewsbury Ave
Shrewsbury, NJ 07702
Phone (732) 450-6000
1430 Hooper Ave
Toms River, NJ 08753
Phone (732) 240-2277
Organizations & group practices 5
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
- Shrewsbury, NJ
- NPI 1356691885
-
- Integrative Medicine Physician
- Shrewsbury, NJ
- NPI 1841540341
-
- Durable Medical Equipment & Medical Supplies
- Manasquan, NJ
- NPI 1700682515
-
- Gastroenterology Physician
- West Long Beach, NJ
- NPI 1265831259
-
- Pain Medicine (Anesthesiology) Physician
- Oakhurst, NJ
- NPI 1033137781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751155200000",
"number": "1689685232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "882 ELTON ADELPHIA RD",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077288616",
"telephone_number": "732-740-2357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 W MAIN ST BLDG B",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077282537",
"telephone_number": "732-303-1616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRYNOWSKI",
"first_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2025-06-29",
"certification_date": "2025-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "26N007829700",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26NJ00183300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Freehold, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.