Individual provider Active NPI

Nicholas Rallakis, CRNA

  • Certified Registered Nurse Anesthetist
  • Brooklyn, NY
National Provider Identifier
1760713374
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
550535-1 Issued in NY
Practice address
506 6TH Street
Ny Methodist Hospital
Brooklyn, NY 11215
Phone
(718) 780-3279
Fax
(718) 780-3281
NPI assigned
Jan 21, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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 550535-1 NY Primary

Addresses

Primary practice location

506 6TH Street
Ny Methodist Hospital
Brooklyn, NY 11215

Mailing address

P.O. Box 550, 2 Catharine Street
Park Slope Anesthesia Associates, PC
Poughkeepsie, NY 12602-0550
Phone (866) 868-8416

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140121001487 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173652039 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
5000 Avenue K Medical Assocs PCGroup PAC ID 3577454602, 18 clinicians

Practice addresses (Care Compare)

5000 Ave K
Brooklyn, NY 11234-2202
Phone (347) 417-9084

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
550535-1NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia LLP CurrentSince Jun 10, 2016 Accepting new patients
Park Slope Anesthesia Associates PC CurrentSince Oct 1, 2013 Accepting new patients
Manhattan Endoscopy Center LLC CurrentSince Sep 13, 2013 Accepting new patients
New York University Current Accepting new patients
5000 Avenue K Medical Assocs PC CurrentSince Aug 5, 2024 Accepting new patients
New York University CurrentSince Jul 1, 2024 Accepting new patients
New York University CurrentSince Jul 1, 2024 Accepting new patients
North Shore - Lij Anesthesiology, PC CurrentSince Apr 20, 2020 Accepting new patients
Centurion Midtown Anesthesia PLLC CurrentSince Jan 31, 2025 Accepting new patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Jun 2, 2022 Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

2325 31st St
Ste 200
Astoria, NY 11105

301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977

506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279

5000 Avenue K
Brooklyn, NY 11234
Phone (718) 629-5590

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

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

11129 Queens Blvd
Forest Hills, NY 11375
Phone (718) 275-8900

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

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

305 E 47th St
New York, NY 10017
Phone (212) 203-8744

128 Mott St
Ste 202
New York, NY 10013
Phone (347) 417-9089

535 5th Ave
Fl 5
New York, NY 10017
Phone (212) 682-2828

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

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

22 Ibm Rd
Ste 210
Poughkeepsie, NY 12601

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1760713374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 550, 2 CATHARINE STREET",
            "address_2": "PARK SLOPE ANESTHESIA ASSOCIATES, PC",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126020550",
            "telephone_number": "866-868-8416",
            "fax_number": "845-790-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 6TH STREET",
            "address_2": "NY METHODIST HOSPITAL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11215",
            "telephone_number": "718-780-3279",
            "fax_number": "718-780-3281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALLAKIS",
        "first_name": "NICHOLAS",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-21",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "550535-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.