Individual provider Active NPI

Pauline P Patterson, DNP, CRNA

  • Certified Registered Nurse Anesthetist
  • East Orange, NJ
National Provider Identifier
1801892575
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
489132-1 Issued in NY
Practice address
74 Carlton St
East Orange, NJ 07017-2310
Phone
(646) 244-2035
NPI assigned
Jun 27, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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 489132-1 NY Primary

Addresses

Primary practice location

74 Carlton St
East Orange, NJ 07017-2310

Mailing address

74 Carlton St
East Orange, NJ 07017-2310
Phone (646) 244-2035

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040330001159 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214929496 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
489132-1NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Garner Staffing Consultants LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 14, 2024 Accepting new patients
New York Gi Center LLC CurrentSince May 7, 2014 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Jun 6, 2017 Accepting new patients
Garner Anesthesia LLC CurrentSince Oct 22, 2023 Accepting new patients
University Physicians of Brooklyn, Inc Past Accepting new patients

Locations

1200 Waters Pl
Ste M117
Bronx, NY 10461
Phone (718) 863-0575

3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

2025 Richmond Ave
Ste 1
Staten Island, NY 10314
Phone (646) 244-2035

2025 Richmond Ave
Staten Island, NY 10314
Phone (718) 494-0800

2025 Richmond Ave
Ste 1LL
Staten Island, NY 10314
Phone (646) 244-2035

355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1801892575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 CARLTON ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070172310",
            "telephone_number": "646-244-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 CARLTON ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070172310",
            "telephone_number": "646-244-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "PAULINE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DNP, CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "489132-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.