Active NPI
Mario Inglese, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Flushing, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 390405
- Practice address
- 5645 Main St
Flushing, NY 11355-5045 - Phone
- (718) 423-0104
- NPI assigned
- Jun 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 390405 | NY | Primary |
Addresses
Primary practice location
5645 Main St
Flushing, NY 11355-5045
Mailing address
575 Lexington Ave
New York, NY 10022-6102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Heroes Way
Riverhead, NY 11901-2054
Phone (631) 548-6000
Hospital & facility affiliations
- Peconic Bay Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 390405 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Igor Amigud Physician P.C. | Current | Accepting new patients | |
| North American Partners in Anesthesia LLP | 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 | |
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Parviz Soomekh MD PC | Current | Accepting new patients |
Locations
121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604
3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171
5645 Main St
Flushing, NY 11355
Phone (718) 670-1435
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
195 E Main St
Huntington, NY 11743
Phone (631) 385-8677
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650
380 2nd Ave
Ste 1000
New York, NY 10010
Phone (212) 254-3570
170 William St
New York, NY 10038
Phone (212) 238-0100
525 E 68th St
#585
New York, NY 10065
Phone (212) 746-2059
525 E 68th St
New York, NY 10065
Phone (212) 746-2846
300 Community Dr
Plandome, NY 11030
5316 Nesconset Hwy
Port Jefferson Station, NY 11776
Phone (631) 689-7800
44 S Bayles Ave
Ste 206
Prt Washingtn, NY 11050
Phone (516) 562-0140
1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Chappaqua, NY
- NPI 1417401266
-
- Specialist
- New York, NY
- NPI 1245337989
-
- Anesthesiology Physician
- Carle Place, NY
- NPI 1790142677
-
- Certified Registered Nurse Anesthetist
- New York, NY
- NPI 1164768305
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Riverhead, NY
- NPI 1386649804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1740286574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 LEXINGTON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100226102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5645 MAIN ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555045",
"telephone_number": "718-423-0104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGLESE",
"first_name": "MARIO",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "390405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.