Individual provider Active NPI

Scott Pomygalski, CRNA

  • Certified Registered Nurse Anesthetist
  • Jersey City, NJ
National Provider Identifier
1811056179
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
26NO11682300 Issued in NJ
Practice address
355 Grand St
Jersey City, NJ 07302-4321
Phone
(201) 871-6073
Fax
(201) 871-0619
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 26NO11682300 NJ Primary
Certified Registered Nurse Anesthetist 367500000X 549943 NY

Addresses

Primary practice location

355 Grand St
Jersey City, NJ 07302-4321

Mailing address

1613 N. Harrison Parkway
Suite #200
Sunrise, FL 33323-2864
Phone (954) 838-2371

Other names 1

  • Scott Pomylgaski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070402000496 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688778525 Reassigns benefits to 1 organization
I20091110000090 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688778525 Reassigns benefits to 1 organization

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
University HospitalGroup PAC ID 5294636874, 77 clinicians
Ramapo Anesthesiologists, PCGroup PAC ID 3476444373, 78 clinicians

Practice addresses (Care Compare)

150 Bergen St
245 Dept of Anesthesiology
Newark, NJ 07101-2496
Phone (973) 972-7867

255 Lafayette Ave
Suffern, NY 10901-4812
Phone (845) 357-5775

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ramapo Anesthesiologists, PC CurrentSince Dec 1, 2009 Accepting new patients

Locations

100 Route 59
Ste 111
Suffern, NY 10901
Phone (845) 369-9701

233 Lafayette Ave
Ste LL5
Suffern, NY 10901
Phone (914) 794-7741

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

Organizations & group practices 2

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 2

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1811056179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 N. HARRISON PARKWAY",
            "address_2": "SUITE #200",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232864",
            "telephone_number": "954-838-2371",
            "fax_number": "954-851-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 GRAND ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024321",
            "telephone_number": "201-871-6073",
            "fax_number": "201-871-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMYGALSKI",
        "first_name": "SCOTT",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NO11682300",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "549943",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SCOTT",
            "last_name": "POMYLGASKI",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.