Active NPI
Teresa J Hoffmann, CRNA
- Certified Registered Nurse Anesthetist
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 286922
- Practice address
- 301 Prospect Ave
Syracuse, NY 13203-1807 - Phone
- (315) 448-5440
- NPI assigned
- Mar 3, 2006
- Last updated
- Jan 13, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 286922 | NY | Primary |
Addresses
Primary practice location
301 Prospect Ave
Syracuse, NY 13203-1807
Mailing address
4965 Bryn Mawr Dr
Syracuse, NY 13215-2255
Phone (315) 492-9450
Other practice location 1
225 Greenfield Pkwy Ste 105
Liverpool, NY 13088-6656
Phone (315) 451-6911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
225 Greenfield Pkwy
Suite 105
Liverpool, NY 13088-6656
Phone (315) 451-6911
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 286922 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agcny Physicians PLLC | Current | Accepting new patients | |
| Chag Anesthesia PC | Current | Accepting new patients | |
| Syracuse ASC LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
260 Township Blvd
Ste 20
Camillus, NY 13031
Phone (315) 708-0091
4309 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 329-7300
225 Greenfield Pkwy
Ste 105
Liverpool, NY 13088
Phone (315) 451-6911
190 Intrepid Ln
Syracuse, NY 13205
Phone (315) 498-6200
4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Liverpool, NY
- NPI 1790591576
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fayetteville, NY
- NPI 1033497136
-
- Anesthesiology Physician
- Syracuse, NY
- NPI 1740279017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1821065301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4965 BRYN MAWR DR",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132152255",
"telephone_number": "315-492-9450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 PROSPECT AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132031807",
"telephone_number": "315-448-5440"
}
],
"practiceLocations": [
{
"address_1": "225 Greenfield Pkwy Ste 105",
"address_purpose": "LOCATION",
"city": "Liverpool",
"state": "NY",
"postal_code": "130886656",
"country_code": "US",
"telephone_number": "315-451-6911",
"fax_number": "315-451-1540",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOFFMANN",
"first_name": "TERESA",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-03",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "286922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.