Active NPI
Sabrina Petrillo, CRNA
- Certified Registered Nurse Anesthetist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 637438
- Practice address
- 1 Gustave L Levy PL
Anesthesiology - Box 1010
New York, NY 10029-6500 - Phone
- (800) 627-4470
- Fax
- (412) 937-5710
- NPI assigned
- Sep 13, 2012
- Last updated
- Oct 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 637438 | NY | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 26NR12193800 | NJ |
Addresses
Primary practice location
1 Gustave L Levy PL
Anesthesiology - Box 1010
New York, NY 10029-6500
Mailing address
PO Box 12023
Newark, NJ 07101-5023
Phone (212) 427-2666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR12193800 | NJ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Weill Medical College of Cornell | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North Shore - Lij Anesthesiology, PC | Current | Accepting new patients | |
| True North Medical Group PC | Current | Accepting new patients | |
| True North Medical Group PC | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Past | Accepting new patients | |
| Fpa Hospital Based | Past | Accepting new patients |
Locations
195 E Main St
Huntington, NY 11743
Phone (631) 385-8677
301 N Main St
Ste 2
New City, NY 10956
Phone (845) 638-0040
380 2nd Ave
Ste 1000
New York, NY 10010
Phone (212) 254-3570
525 E 68th St
New York, NY 10065
Phone (212) 746-2846
36 Lincoln Ave
Fl 3
Rockville Ctr, NY 11570
1099 Targee St
Staten Island, NY 10304
3311 Hylan Blvd
Staten Island, NY 10306
Phone (718) 351-3111
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Chappaqua, NY
- NPI 1417401266
-
dba Orlin & Cohen Medical Specialists Group
- Orthopaedic Surgery Physician
- Merrick, NY
- NPI 1659883486
-
dba Nyph / WCMC Crna's
- Certified Registered Nurse Anesthetist
- New York, NY
- NPI 1164768305
Nurse Anesthetist, Certified Registered
-
dba Orlin and Cohen Medical Specialist Group
- Oxygen Equipment & Supplies (DME)
- Tarrytown, NY
- NPI 1669272886
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
-
dba Mount Sinai Dermatopathology Services III
- Dermatopathology (Pathology) Physician
- New York, NY
- NPI 1841531795
-
dba Icahn School of Medicine Pharmacy
- Specialty Pharmacy
- New York, NY
- NPI 1629410816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349740800000",
"number": "1700136066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12023",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071015023",
"telephone_number": "212-427-2666",
"fax_number": "212-289-6929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GUSTAVE L LEVY PL",
"address_2": "ANESTHESIOLOGY - BOX 1010",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296500",
"telephone_number": "800-627-4470",
"fax_number": "412-937-5710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRILLO",
"first_name": "SABRINA",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-13",
"last_updated": "2012-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "637438",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26NR12193800",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.