Individual provider Active NPI

Gina Fasolo, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Lauderdale, FL
National Provider Identifier
1730650698
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11007198 Issued in FL
Practice address
1525 W Cypress Creek Road
Fort Lauderdale, FL 33309
Phone
(201) 615-6601
NPI assigned
Dec 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN11007198 FL Primary
Certified Registered Nurse Anesthetist 367500000X 647022 NY

Addresses

Primary practice location

1525 W Cypress Creek Road
Fort Lauderdale, FL 33309

Mailing address

10 North St
Elmwood Park, NJ 07407-2246
Phone (201) 615-6601

Other practice location 1

355 Bard Ave
Staten Island, NY 10310-1699
Phone (718) 818-1234

Other practice location 2

301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, PA, NJ4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20190321000950 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123368594 Reassigns benefits to 6 organizations
I20230809000032 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123368594 Reassigns benefits to 2 organizations
I20231031003962 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123368594 Reassigns benefits to 3 organizations
I20240910000109 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123368594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore - Lij Anesthesiology, PCGroup PAC ID 1153602453, 990 clinicians
Sheridan Healthcorp IncGroup PAC ID 3173429693, 956 clinicians

Practice addresses (Care Compare)

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

1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510
Phone (954) 939-5000

3663 S Miami Ave
Miami, FL 33133-4253
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11007198FLMDCertified Registered Nurse Anesthetist
647022NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Oct 9, 2023 Accepting new patients
360 Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
North Shore - Lij Anesthesiology, PC CurrentSince Aug 23, 2023 Accepting new patients
Centurion Midtown Anesthesia PLLC CurrentSince Aug 30, 2024 Accepting new patients
University Hospital CurrentSince Aug 12, 2024 Accepting new patients
U of R Anesthesiology Group CurrentSince Aug 21, 2023 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
University Hospital Nurse Anesthetist, Certified Registered CurrentSince Aug 12, 2024 Accepting new patients
University of Pittsburgh Physicians CurrentSince Oct 9, 2023 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Dec 8, 2019 Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2024 Accepting new patients
Anesthesia Physician Solutions of South Florida, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 23, 2025 Accepting new patients
Downtown Bronx Medical Associates PC CurrentSince Mar 1, 2020 Accepting new patients
Upstate Anesthesia Services, P.C. CurrentSince Mar 14, 2020 Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC CurrentSince Feb 1, 2024 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Mar 28, 2025 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 28, 2025 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Jan 30, 2025 Accepting new patients
Anesthesia Physician Solutions of South Florida, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 23, 2025 Accepting new patients

Locations (25 of 28)

201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

150 Bergen St
#E245
Newark, NJ 07103
Phone (973) 972-7867

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

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604

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

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

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

300 Community Dr
Plandome, NY 11030

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

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

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

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

Networks

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

Interoperability endpoints

  • Direct secure messaging: gfasolo2137251@nychhc.direct-ci.com

Organizations & group practices 20

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 20

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": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1730650698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 NORTH ST",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074072246",
            "telephone_number": "201-615-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 W CYPRESS CREEK ROAD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33309",
            "telephone_number": "201-615-6601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 Bard Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103101699",
            "country_code": "US",
            "telephone_number": "718-818-1234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132031807",
            "country_code": "US",
            "telephone_number": "315-448-5111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FASOLO",
        "first_name": "GINA",
        "name_prefix": "Miss",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11007198",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "647022",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.