Individual provider Active NPI

Michael C. Amoss, CRNA

  • Certified Registered Nurse Anesthetist
  • Shrewsbury, NJ
National Provider Identifier
1801814918
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
NO1149470 Issued in NJ
Practice address
655 Shrewsbury Ave
Shrewsbury, NJ 07702-4179
Phone
(732) 450-6000
Fax
(732) 450-1798
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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 NO1149470 NJ Primary

Addresses

Primary practice location

655 Shrewsbury Ave
Shrewsbury, NJ 07702-4179

Mailing address

PO Box 188
Little Silver, NJ 07739-0188
Phone (732) 264-1127

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061113000097 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537167226 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shrewsbury Ambulatory Anesthesia LLCGroup PAC ID 4385899962, 141 clinicians

Practice addresses (Care Compare)

655 Shrewsbury Ave
Shrewsbury, NJ 07702-4179
Phone (732) 450-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NO1149470NJMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Shrewsbury Ambulatory Anesthesia LLC CurrentSince Aug 5, 2018 Accepting new patients
Allied Digestive Health, LLC CurrentSince Apr 29, 2022 Accepting new patients
Toms River Ambulatory Anesthesia LLC CurrentSince Nov 15, 2015 Accepting new patients
Toms River Ambulatory Anesthesia LLC CurrentSince Nov 15, 2015 Accepting new patients
Atlantic Coast Gastroenterology Associates Past Accepting new patients

Locations

901 W Main St
Ste 302
Freehold, NJ 07728
Phone (732) 303-1616

1215 Route 70
Lakewood, NJ 08701
Phone (732) 719-1800

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

365 Broad St
Ste 1E
Red Bank, NJ 07701
Phone (732) 842-4294

655 Shrewsbury Ave
Shrewsbury, NJ 07702
Phone (732) 450-6000

1430 Hooper Ave
Toms River, NJ 08753
Phone (732) 240-2277

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188432000000",
    "number": "1801814918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077390188",
            "telephone_number": "732-264-1127",
            "fax_number": "732-264-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 SHREWSBURY AVE",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024179",
            "telephone_number": "732-450-6000",
            "fax_number": "732-450-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMOSS",
        "first_name": "MICHAEL",
        "middle_name": "C.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "NO1149470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.