Individual provider Active NPI

Aliza Rosenblum Wolfe

  • Certified Registered Nurse Anesthetist
  • New York, NY
National Provider Identifier
1790133874
Registry record updated May 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
639959-1 Issued in NY
Practice address
88 Bleecker St
Apt 3J
New York, NY 10012-1544
Phone
(617) 721-5109
NPI assigned
May 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2016

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 639959-1 NY Primary

Addresses

Primary practice location

88 Bleecker St
Apt 3J
New York, NY 10012-1544

Mailing address

88 Bleecker St
Apt 3J
New York, NY 10012-1544
Phone (617) 721-5109

Other identifiers 1

IdentifierTypeStateIssuer
639959-1OtherNYTHE UNIVERSITY OF THE STATE OF NEW YORK - EDUCATION DEPARTMENT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210104000758 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517247240 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Mason Medical CenterGroup PAC ID 9830002617, 867 clinicians
Paceline Anesthesia, PLLCGroup PAC ID 5799853099, 36 clinicians

Practice addresses (Care Compare)

1100 9TH Ave
Seattle, WA 98101-2756
Phone (206) 223-6600

1135 116TH Ave NE
Suite 570
Bellevue, WA 98004-4632
Phone (425) 451-7335

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
639959-1NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 6, 2023 Accepting new patients
Virginia Mason Medical Center Nurse Anesthetist, Certified Registered CurrentSince Oct 13, 2022 Accepting new patients
Virginia Mason Medical Center Current Accepting new patients
Ethereal Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 10, 2022 Accepting new patients
Paceline Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 23, 2024 Accepting new patients
Virginia Mason Medical Center CurrentSince Oct 13, 2022 Accepting new patients

Locations

1135 116th Ave NE
Ste 570
Bellevue, WA 98004
Phone (425) 451-7335

1900 Cooks Hill Rd
Centralia, WA 98531
Phone (360) 330-8627

21600 Highway 99
Ste 260
Edmonds, WA 98026
Phone (425) 774-2650

12800 Bothell Everett Hwy
Ste 200
Everett, WA 98208
Phone (206) 259-3122

5801 Soundview Dr
Ste 156
Gig Harbor, WA 98335
Phone (253) 268-0720

11800 NE 128th St
Ste 100
Kirkland, WA 98034
Phone (425) 899-4500

2100 Little Mountain Ln
Mount Vernon, WA 98274
Phone (360) 416-6735

9730 3rd Ave NE
Ste 200
Seattle, WA 98115
Phone (206) 985-9553

1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980

501 N 34th St
Ste 101
Seattle, WA 98103
Phone (206) 838-1777

4575 Sand Point Way NE
Ste 108
Seattle, WA 98105
Phone (206) 525-8000

1101 Madison St
Ste 400
Seattle, WA 98104
Phone (206) 505-1230

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 1

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": "1464566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464566400000",
    "number": "1790133874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 BLEECKER ST",
            "address_2": "APT 3J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100121544",
            "telephone_number": "617-721-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 BLEECKER ST",
            "address_2": "APT 3J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100121544",
            "telephone_number": "617-721-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "ALIZA",
        "middle_name": "ROSENBLUM",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-30",
        "last_updated": "2016-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "639959-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE UNIVERSITY OF THE STATE OF NEW YORK - EDUCATION DEPARTMENT",
            "identifier": "639959-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2016; 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.