TPS II of PA, LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN559969 Issued in PA

Legal business name

TPS II OF PA, LLC

Practice address

245 N 15TH St
NCB Room 7502
Philadelphia, PA 19102-1101

Phone

(215) 762-4312

NPI assigned

May 17, 2011

Organization subpart

No

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

Authorized official

Name

Mary Genevieve D'Agostino, CRNANPI 1780978072

Title

Crna

Phone

(484) 678-8690

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Genevieve D'Agostino, CRNA

  • Certified Registered Nurse Anesthetist
  • Alpharetta, GA
  • NPI 1780978072

  Nurse Anesthetist, Certified Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1760775282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 IRVINGTON PL",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190135216",
            "telephone_number": "484-678-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N 15TH ST",
            "address_2": "NCB ROOM 7502",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021101",
            "telephone_number": "215-762-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TPS II OF PA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-17",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "D'AGOSTINO",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "GENEVIEVE",
        "authorized_official_title_or_position": "CRNA",
        "authorized_official_telephone_number": "484-678-8690",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN559969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oluwatosin Towolawi
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• Ayoola Nekesa Toyer
• Yoshiya Toyoda, MD,PHD
• Nicholas Anthony Tozzi
• TPS III of PA, LLC
• TPS IV of PA, LLC
• TPS IV of PA., LLC
• Edouard J. Trabulsi, M.D.
• Karen May Trabulsi, M.D.

• Certified Registered Nurse Anesthetist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Certified Registered Nurse Anesthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.