Active NPI
Calvin Kwak, CRNA
- Certified Registered Nurse Anesthetist
- Manhasset, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 665623-01
- Practice address
- 300 Community Dr
Manhasset, NY 11030-3816 - Phone
- (516) 562-0100
- NPI assigned
- Apr 1, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 665623-1 | NY | |
| Certified Registered Nurse Anesthetist | 367500000X | 665623-01 | NY | Primary |
Addresses
Primary practice location
300 Community Dr
Manhasset, NY 11030-3816
Mailing address
149-06 Northern Blvd Apt 507
Flushing, NY 11354
Phone (718) 757-7666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Georgetown University School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-0100
355 Grand St
Jersey City, NJ 07302-4321
Phone (201) 915-2000
55 Mdwlands Pkwy
Secaucus, NJ 07094-2977
Phone (917) 681-4963
622 W 168TH St
New York, NY 10032-3720
Phone (212) 305-9876
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (973) 322-5000
Hospital & facility affiliations
- New York-Presbyterian Hospital
- Cooperman Barnabas Medical Center
- Hudson Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 85.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 665623-1 | NY | MD | Critical Care Medicine Registered Nurse |
| 665623-01 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rwjbh Emergency Medicine Associates, LLC | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Rwjbh Observation Associates LLC | Current | Accepting new patients | |
| North Shore - Lij Anesthesiology, PC | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Canj Anesthesia LLC | Current | Accepting new patients | |
| Parkway Anesthesia Associates LLC | Current | Accepting new patients | |
| North American Partners in Anesthesia LLP | Current | Accepting new patients |
Locations
355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224
94 Old Short Hills Rd
Ste 1
Livingston, NJ 07039
Phone (973) 322-2800
1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100
55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744
3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
195 E Main St
Huntington, NY 11743
Phone (631) 385-8677
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
300 Community Dr
Plandome, NY 11030
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 9
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
- Chappaqua, NY
- NPI 1417401266
-
- Surgery Physician
- New York, NY
- NPI 1508266347
-
- Anesthesiology Physician
- Secaucus, NJ
- NPI 1881353662
-
- Anesthesiology Physician
- North Bergen, NJ
- NPI 1518319755
-
- Emergency Medicine Physician
- Livingston, NJ
- NPI 1760095806
-
- Emergency Medicine Physician
- Somerset, NJ
- NPI 1912510041
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
-
- Anesthesiology Physician
- New York, NY
- NPI 1477068971
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1144504044
-
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
-
- General Acute Care Hospital
- Bronxville, NY
- NPI 1780196345
-
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
-
- General Acute Care Hospital
- Livingston, NJ
- NPI 1396857488
-
- General Acute Care Hospital
- Secaucus, NJ
- NPI 1710491253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643760000000",
"number": "1801425947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149-06 NORTHERN BLVD APT 507",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11354",
"telephone_number": "718-757-7666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 COMMUNITY DR",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303816",
"telephone_number": "516-562-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWAK",
"first_name": "CALVIN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-01",
"last_updated": "2022-02-02",
"certification_date": "2022-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "NY",
"license": "665623-1",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "665623-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manhasset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.