Active NPI
Frank Joseph Daugherty, CRNA
- Certified Registered Nurse Anesthetist
- Mineola, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 407130
- Practice address
- 216 1St St
Mineola, NY 11501-3901 - Phone
- (516) 663-2216
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 407130 | NY | Primary |
Addresses
Primary practice location
216 1St St
Mineola, NY 11501-3901
Mailing address
30 Little Neck Rd
Centerport, NY 11721-1668
Phone (631) 239-1323
Other practice location 1
30 Little Neck Rd
Centerport, NY 11721-1668
Phone (631) 239-1323
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 407130 | Other | NY | LICENSE |
| 11-3465690 | Other | NY | TAX ID |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | fdaugherty307253@nyumc.direct-ci.com |
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
- State University of New York Downstate Medical Center, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Port Washington Blvd
Roslyn, NY 11576-1347
Phone (516) 627-0334
27005 75TH Ave
New Hyde Park, NY 11040-1402
Phone (718) 470-7000
530 1St Ave
New York, NY 10016-6402
550 1St Ave
New York, NY 10016-6402
Phone (212) 263-6037
Hospital & facility affiliations
- NS/Lij HS Huntington Hospital
- NYU Langone Hospitals
- NS/Lij HS Southside Hospital
- St Francis Hospital - the Heart Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 407130 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| North Shore - Lij Anesthesiology, PC | Current | Accepting new patients | |
| New York Cardiovascular Anesthesiologists, P.C. | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| North American Partners in Anesthesia LLP | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Nassau Anesthesia Associates PC | Past | Accepting new patients |
Locations
301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977
3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
560 Northern Blvd
Ste 203
Great Neck, NY 11021
Phone (516) 482-0600
270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308
195 E Main St
Huntington, NY 11743
Phone (631) 385-8677
259 1st St
Mineola, NY 11501
Phone (516) 576-1820
2001 Marcus Ave
Ste N18
New Hyde Park, NY 11042
Phone (516) 775-7770
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
530 1st Ave
New York, NY 10016
Phone (212) 263-7216
27005 76th Ave
North New Hyde Pk, NY 11040
44 S Bayles Ave
Ste 206
Prt Washingtn, NY 11050
Phone (516) 562-0140
100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385
989 W Jericho Tpke
Smithtown, NY 11787
Phone (631) 864-5600
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- fdaugherty307253@nyumc.direct-ci.com
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.
-
- Anesthesiology Physician
- Roslyn, NY
- NPI 1801834411
-
- Otolaryngology Physician
- New York, NY
- NPI 1851456701
-
- Anesthesiology Physician
- Chappaqua, NY
- NPI 1417401266
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- Anesthesiology Physician
- Boynton Beach, FL
- NPI 1952392946
-
- Anesthesiology Physician
- Mineola, NY
- NPI 1578961645
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Huntington, NY
- NPI 1508845322
-
- Rehabilitation Hospital Unit
- New York, NY
- NPI 1275632895
-
- General Acute Care Hospital
- Mineola, NY
- NPI 1427616002
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1619341716
-
- General Acute Care Hospital
- New York, NY
- NPI 1669578324
-
- General Acute Care Hospital
- New York, NY
- NPI 1801992631
-
- General Acute Care Hospital
- Bay Shore, NY
- NPI 1457369381
-
- General Acute Care Hospital
- Roslyn, NY
- NPI 1043279565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1790714152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 LITTLE NECK RD",
"city": "CENTERPORT",
"state": "NY",
"postal_code": "117211668",
"telephone_number": "631-239-1323",
"fax_number": "631-239-1323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 1ST ST",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115013901",
"telephone_number": "516-663-2216"
}
],
"practiceLocations": [
{
"address_1": "30 Little Neck Rd",
"address_purpose": "LOCATION",
"city": "Centerport",
"state": "NY",
"postal_code": "117211668",
"country_code": "US",
"telephone_number": "631-239-1323",
"fax_number": "631-239-1323",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAUGHERTY",
"first_name": "FRANK",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "407130",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "407130",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "11-3465690",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "fdaugherty307253@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "216 1st St",
"city": "Mineola",
"state": "NY",
"country_code": "US",
"postal_code": "115013901",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.