Active NPI
Edwina Von Judd, CRNA
- Certified Registered Nurse Anesthetist
- Woodbury, NJ
National Provider Identifier
1770552960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 26NR07313000
- Practice address
- 509 N Broad St
Underwood Memorial Hospital 3Rd Floor
Woodbury, NJ 08096 - Phone
- (856) 845-0100
- Fax
- (856) 853-9334
- NPI assigned
- Mar 17, 2006
- Sex
- Female
- 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 | 26NR07313000 | NJ | Primary |
Addresses
Primary practice location
509 N Broad St
Underwood Memorial Hospital 3Rd Floor
Woodbury, NJ 08096
Mailing address
PO Box 390
Scranton, PA 18501
Phone (570) 346-7797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR07313000 | NJ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Anesthesia, Inc. | Past | Accepting new patients | |
| Associates in Anesthesia | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/0d26bd04-9128-4f58-8e6d-ffda5cd00f89/
Organizations & group practices 2
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
- Chadds Ford, PA
- NPI 1336470467
-
- Anesthesiology Physician
- Chadds Ford, PA
- NPI 1942281191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332979200000",
"number": "1770552960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 390",
"city": "SCRANTON",
"state": "PA",
"postal_code": "18501",
"telephone_number": "570-346-7797",
"fax_number": "570-342-9802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 N BROAD ST",
"address_2": "UNDERWOOD MEMORIAL HOSPITAL 3RD FLOOR",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "08096",
"telephone_number": "856-845-0100",
"fax_number": "856-853-9334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VON JUDD",
"first_name": "EDWINA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-17",
"last_updated": "2012-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26NR07313000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.