Individual provider Active NPI

David M Moretti, CRNA

  • Certified Registered Nurse Anesthetist
  • Lowville, NY
National Provider Identifier
1699710863
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
702622 Issued in TX
Practice address
7785 N State St
Lowville, NY 13367-1229
Phone
(315) 376-5200
Fax
(315) 589-9406
NPI assigned
Jun 19, 2006
Last updated
Aug 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 702622 TX Primary

Addresses

Primary practice location

7785 N State St
Lowville, NY 13367-1229

Mailing address

PO Box 10505
Albany, NY 12201-5505

Other identifiers 2

IdentifierTypeStateIssuer
170248201MedicaidTX
470756OtherNYNY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040319001485 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567352651 Reassigns benefits to 7 organizations
I20041206000394 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567352651 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
70
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Digestive Endoscopy Center, LLC CurrentSince Oct 19, 2022 Accepting new patients
Renaissance Medical Foundation Current Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2019 Accepting new patients
Delphi Physicians Group, PLLC CurrentSince Dec 1, 2023 Accepting new patients
Upstate Anesthesia Services, P.C. CurrentSince Jun 24, 2022 Accepting new patients
Centurion Midtown Anesthesia PLLC CurrentSince Aug 30, 2024 Accepting new patients
Endoscopy Center of Long Island LLC CurrentSince Feb 7, 2018 Accepting new patients
Advanced Gastroenterology and Endoscopy, P.C. CurrentSince Jan 1, 2023 Accepting new patients
McAllen Anesthesia Consultants, PA Current Accepting new patients
McAllen Anesthesia Consultants, PA CurrentSince Feb 10, 2020 Accepting new patients
Long Island Anesthesia Physicians LLP CurrentSince Jul 21, 2018 Accepting new patients
Suffolk Anesthesiology Associates, PC Past Accepting new patients
Greenville Health System Past Accepting new patients

Locations

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

711 Stewart Ave
Ste 114
Garden City, NY 11530
Phone (516) 227-3254

7785 N State St
Lowville, NY 13367
Phone (315) 376-5102

1110 Hallock Ave
Port Jefferson Station, NY 11776
Phone (631) 476-9100

1500 Route 112
Bldg 5
Port Jefferson Station, NY 11776
Phone (631) 470-1450

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

70 N Country Rd
Ste 201
Prt Jefferson, NY 11777
Phone (631) 331-0200

333 Route 25A
Ste 225
Rocky Point, NY 11778
Phone (631) 503-1400

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1699710863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10505",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122015505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7785 N STATE ST",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671229",
            "telephone_number": "315-376-5200",
            "fax_number": "315-589-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORETTI",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "702622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170248201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LICENSE",
            "identifier": "470756",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.