Individual provider Active NPI

Clyde D Casimiro, CRNA

  • Certified Registered Nurse Anesthetist
  • New York, NY
National Provider Identifier
1700287190
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
538713-1 Issued in NY
Practice address
310 E. 14TH Street
Ny Eye & Ear Infirmary
New York, NY 10003
Phone
(212) 979-4000
NPI assigned
Sep 4, 2014
Last updated
Mar 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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 538713-1 NY Primary

Addresses

Primary practice location

310 E. 14TH Street
Ny Eye & Ear Infirmary
New York, NY 10003

Mailing address

2 Catharine Street, P.O. Box 550
East Manhattan Anesthesic Partners, LLC
Poughkeepsie, NY 12602
Phone (866) 868-8415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150319001264 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305163924 Reassigns benefits to 12 organizations
I20240315002706 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305163924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore - Lij Anesthesiology, PCGroup PAC ID 1153602453, 990 clinicians
North American Partners in Anesthesia LLPGroup PAC ID 7719885771, 427 clinicians

Practice addresses (Care Compare)

1 Heroes Way
Riverhead, NY 11901-2054
Phone (631) 548-6000

100 Woods Rd
Valhalla, NY 10595-1530

396 Broadway
Kingston, NY 12401-4626
Phone (845) 331-3131

529 Central Ave
Dunkirk, NY 14048-2514
Phone (716) 366-1111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
538713-1NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Oct 21, 2017 Accepting new patients
Premier Anesthesia of New York, P.C. Nurse Anesthetist, Certified Registered CurrentSince Jan 13, 2018 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Sep 8, 2020 Accepting new patients
Weill Medical College of Cornell CurrentSince Mar 7, 2018 Accepting new patients
Weill Medical College of Cornell Nurse Anesthetist, Certified Registered CurrentSince Mar 7, 2018 Accepting new patients
Montefiore Medical Center CurrentSince Oct 21, 2017 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Sep 8, 2020 Accepting new patients
Great Lakes Anesthesiology, PC CurrentSince Aug 1, 2021 Accepting new patients
North Shore - Lij Anesthesiology, PC CurrentSince Dec 2, 2024 Accepting new patients
Memorial Anesthesiology Group Nurse Anesthetist, Certified Registered CurrentSince Dec 15, 2014 Accepting new patients
Trustees of Columbia University in the City of New York Current Accepting new patients
U of R Anesthesiology Group CurrentSince Apr 1, 2021 Accepting new patients
Upstate Anesthesia Services, P.C. CurrentSince Mar 6, 2020 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Dec 1, 2016 Accepting new patients
Cape Cod Anesthesia Associates, Inc. CurrentSince Mar 1, 2024 Accepting new patients
Downtown Bronx Medical Associates PC CurrentSince Nov 27, 2019 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jan 10, 2024 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Jan 1, 2026 Accepting new patients

Locations

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

7 Southwoods Blvd
Ste 4
Albany, NY 12211

111 E 210th St
Bronx, NY 10467

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

3095 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 896-2245

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

134 Homer Ave
Cortland, NY 13045
Phone (607) 756-3500

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

3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

1 Hospital Dr
Massena, NY 13662
Phone (315) 764-1711

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

170 William St
New York, NY 10038
Phone (212) 238-0100

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000

601 Elmwood Ave
#604
Rochester, NY 14642
Phone (585) 275-2141

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 19

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 19

Hospital & facility affiliations 2

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": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1700287190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CATHARINE STREET, P.O. BOX 550",
            "address_2": "EAST MANHATTAN ANESTHESIC PARTNERS, LLC",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "12602",
            "telephone_number": "866-868-8415",
            "fax_number": "845-790-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E. 14TH STREET",
            "address_2": "NY EYE & EAR INFIRMARY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-979-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASIMIRO",
        "first_name": "CLYDE",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-04",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "538713-1",
            "primary": true
        }
    ],
    "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 Mar 6, 2018; 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.