Active NPI
Andrew J Prusan, CRNA
- Certified Registered Nurse Anesthetist
- Shrewsbury, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 26NO10195400
- Practice address
- 655 Shrewsbury Avenue
Shrewsbury, NJ 07702 - Phone
- (732) 450-6000
- Fax
- (732) 450-1798
- NPI assigned
- Dec 13, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 26NO10195400 | NJ | Primary |
Addresses
Primary practice location
655 Shrewsbury Avenue
Shrewsbury, NJ 07702
Mailing address
66 West Gilbert St
Red Bank, NJ 07701
Phone (732) 212-0051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NO10195400 | NJ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Toms River Ambulatory Anesthesia LLC | Current | Accepting new patients | |
| Rutgers Health-RWJ Pediatric Critical Care | Current | Accepting new patients | |
| Toms River Ambulatory Anesthesia LLC | Current | Accepting new patients | |
| Shrewsbury Ambulatory Anesthesia LLC | Current | Accepting new patients | |
| Princeton Anesthesia Services, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Liberty Anesthesia, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| North American Partners in Anesthesia of New Jersey LLC | Past | Accepting new patients | |
| Monmouth Anesthesia Associates | Past | Accepting new patients |
Locations
901 W Main St
Ste 302
Freehold, NJ 07728
Phone (732) 303-1616
360 Route 70
Lakewood, NJ 08701
Phone (732) 367-3050
300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200
125 Paterson St
Ste 6140
New Brunswick, NJ 08901
Phone (732) 235-6230
1 Robert Wood Johnson Pl
#G
New Brunswick, NJ 08901
Phone (732) 937-8841
1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887
317 George St
Fl 3
New Brunswick, NJ 08901
Phone (732) 235-6137
655 Shrewsbury Ave
Shrewsbury, NJ 07702
Phone (732) 450-6000
66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051
1430 Hooper Ave
Toms River, NJ 08753
Phone (732) 240-2277
Organizations & group practices 8
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.
-
- Family Medicine Physician
- New Brunswick, NJ
- NPI 1780766527
-
- Anesthesiology Physician
- Shrewsbury, NJ
- NPI 1356691885
-
- Integrative Medicine Physician
- Shrewsbury, NJ
- NPI 1841540341
-
- Durable Medical Equipment & Medical Supplies
- Manasquan, NJ
- NPI 1700682515
-
- Anesthesiology Physician
- Freehold, NJ
- NPI 1548214075
Nurse Anesthetist, Certified Registered
-
- Specialist
- Long Branch, NJ
- NPI 1568469088
-
- Anesthesiology Physician
- Brick, NJ
- NPI 1548433048
-
- Anesthesiology Physician
- Monroe, NJ
- NPI 1356608822
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206662400000",
"number": "1841351640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 WEST GILBERT ST",
"city": "RED BANK",
"state": "NJ",
"postal_code": "07701",
"telephone_number": "732-212-0051",
"fax_number": "732-212-0713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 SHREWSBURY AVENUE",
"city": "SHREWSBURY",
"state": "NJ",
"postal_code": "07702",
"telephone_number": "732-450-6000",
"fax_number": "732-450-1798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUSAN",
"first_name": "ANDREW",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2008-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26NO10195400",
"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 Mar 28, 2008; 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.