Individual provider Active NPI

Meghan E Kosciuk

  • Certified Registered Nurse Anesthetist
  • Rocky Point, NY
National Provider Identifier
1730961400
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
737223 Issued in NY
Practice address
333 RT 25a Ste 225
Rocky Point, NY 11778-8802
Phone
(631) 503-1400
NPI assigned
Oct 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 737223 NY
Certified Registered Nurse Anesthetist 367500000X 737223 NY Primary

Addresses

Primary practice location

333 RT 25a Ste 225
Rocky Point, NY 11778-8802

Mailing address

5 Hancock St
Port Jefferson Station, NY 11776-3151
Phone (631) 626-4225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240829000780 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648719013 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore - Lij Anesthesiology, PCGroup PAC ID 1153602453, 990 clinicians
Suffolk Anesthesiology Associates PCGroup PAC ID 6204725740, 78 clinicians
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

10201 66TH Rd
Forest Hills, NY 11375-2029
Phone (718) 830-4000

200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Phone (631) 360-4000

530 1St Ave
New York, NY 10016-6402

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-6037

Hospital & facility affiliations

  • John T Mather Memorial Hospital of Port Jefferson Hospital, Port Jefferson, NY, CCN 330185
  • Long Island Community Hospital Hospital, Patchogue, NY, CCN 330141
  • St Charles Hospital Hospital, Port Jefferson, NY, CCN 330246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
737223NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Office Based Anesthesia LLC CurrentSince Mar 1, 2025 Accepting new patients
New York University CurrentSince Sep 1, 2024 Accepting new patients
New York University CurrentSince Sep 1, 2024 Accepting new patients
Suffolk Anesthesiology Associates, PC CurrentSince Mar 1, 2025 Accepting new patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Aug 23, 2024 Accepting new patients
New York University Current Accepting new patients
North Shore - Lij Anesthesiology, PC CurrentSince Apr 15, 2025 Accepting new patients

Locations

1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313

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

975 Stewart Ave
Garden City, NY 11530
Phone (516) 222-8600

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

8745 Lake Street Rd
Le Roy, NY 14482
Phone (585) 267-7570

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600

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

9785 Queens Blvd
Rego Park, NY 11374
Phone (631) 360-0266

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

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

Networks

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

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1730961400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HANCOCK ST",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763151",
            "telephone_number": "631-626-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 RT 25A STE 225",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117788802",
            "telephone_number": "631-503-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSCIUK",
        "first_name": "MEGHAN",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-17",
        "last_updated": "2024-06-28",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "737223",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "737223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.