Individual provider Active NPI

Frank Joseph Daugherty, CRNA

  • Certified Registered Nurse Anesthetist
  • Mineola, NY
National Provider Identifier
1790714152
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
407130 Issued in NY
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

Updated by the provider on Aug 11, 2022

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 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

IdentifierTypeStateIssuer
407130OtherNYLICENSE
11-3465690OtherNYTAX ID

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fdaugherty307253@nyumc.direct-ci.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100903000207 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284758871 Reassigns benefits to 3 organizations

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
New York Cardiovascular Anesthesiologists, P.C.Group PAC ID 5799676623, 135 clinicians
North Shore - Lij Anesthesiology, PCGroup PAC ID 1153602453, 990 clinicians
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

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 Hospital, Huntington, NY, CCN 330045
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214
  • NS/Lij HS Southside Hospital Hospital, Bay Shore, NY, CCN 330043
  • St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
407130NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince May 17, 2022 Accepting new patients
North Shore - Lij Anesthesiology, PC CurrentSince Oct 1, 2025 Accepting new patients
New York Cardiovascular Anesthesiologists, P.C. CurrentSince Nov 1, 2025 Accepting new patients
New York University CurrentSince May 17, 2022 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Jul 20, 2018 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 10

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": "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.

Verify at the official NPI Registry.