Active NPI
Stefan Titianu
- Certified Registered Nurse Anesthetist
- East Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 889913
- Practice address
- 1355 Bogue St
East Lansing, MI 48824-6207 - Phone
- (586) 872-1771
- NPI assigned
- Jul 23, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2457935 | MI | |
| Certified Registered Nurse Anesthetist | 367500000X | 889913 | NY | Primary |
Addresses
Primary practice location
1355 Bogue St
East Lansing, MI 48824-6207
Mailing address
1355 Bogue St
East Lansing, MI 48824-6207
Other practice location 1
1 Healthy Way
Oceanside, NY 11572-1551
Phone (516) 632-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, ME
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000
Hospital & facility affiliations
- Northern Light Eastern Maine Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2457935 | MI | MD | Registered Nurse |
| 889913 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Maine Medical Center | Current | Accepting new patients | |
| North American Partners in Anesthesia LLP | Current | Accepting new patients | |
| Eastern Maine Medical Center | Current | Accepting new patients |
Locations
489 State St
Bangor, ME 04401
Phone (207) 973-8837
7 Southwoods Blvd
Ste 4
Albany, NY 12211
3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171
777 Zeckendorf Blvd
Garden City, NY 11530
Phone (516) 663-3700
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
-
- Rehabilitation Hospital Unit
- Bangor, ME
- NPI 1780674689
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1821723701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1355 BOGUE ST",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488246207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1355 BOGUE ST",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488246207",
"telephone_number": "586-872-1771"
}
],
"practiceLocations": [
{
"address_1": "1 Healthy Way",
"address_purpose": "LOCATION",
"city": "Oceanside",
"state": "NY",
"postal_code": "115721551",
"country_code": "US",
"telephone_number": "516-632-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TITIANU",
"first_name": "STEFAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-07-23",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "2457935",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "889913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.