Individual provider Active NPI

Andrew J Prusan, CRNA

  • Certified Registered Nurse Anesthetist
  • Shrewsbury, NJ
National Provider Identifier
1841351640
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
26NO10195400 Issued in NJ
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

Updated by the provider on Mar 28, 2008

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 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

Enrollment IDStateProvider typePAC IDDetails
I20041014000019 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 3779543756 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NO10195400NJMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Toms River Ambulatory Anesthesia LLC CurrentSince Nov 15, 2015 Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care CurrentSince Feb 1, 2021 Accepting new patients
Toms River Ambulatory Anesthesia LLC CurrentSince Nov 15, 2015 Accepting new patients
Shrewsbury Ambulatory Anesthesia LLC CurrentSince Jun 20, 2015 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.

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.

Verify at the official NPI Registry.