Individual provider Active NPI

Atim Ntekim, CRNA

  • Certified Registered Nurse Anesthetist
  • Flushing, NY
National Provider Identifier
1841859964
Registry record updated Oct 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
636009 Issued in NY
Practice address
5645 Main St
Flushing, NY 11355-5045
Phone
(646) 962-9930
NPI assigned
Jun 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 636009 NY
Certified Registered Nurse Anesthetist 367500000X 636009 NY Primary

Addresses

Primary practice location

5645 Main St
Flushing, NY 11355-5045

Mailing address

575 Lexington Ave
New York, NY 10022-6102

Other practice location 1

7901 Broadway # E2-69
Elmhurst, NY 11373-1329
Phone (718) 334-2488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220105001422 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 4981095742 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weill Medical College of CornellGroup PAC ID 6800709023, 2,023 clinicians
Upstate Anesthesia Services, P.C.Group PAC ID 0840383857, 47 clinicians
Jamaica Anesthesiologist PCGroup PAC ID 1355323460, 80 clinicians

Practice addresses (Care Compare)

170 William St
New York, NY 10038-2612
Phone (646) 962-4328

2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone (516) 572-6131

8900 Van Wyck Expy
Jamaica, NY 11418-2832
Phone (718) 206-6088

Hospital & facility affiliations

  • New York-Presbyterian/Queens Hospital, Flushing, NY, CCN 330055
  • Nassau University Medical Center Hospital, East Meadow, NY, CCN 330027
  • Jamaica Hospital Medical Center Hospital, Jamaica, NY, CCN 330014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation CurrentSince Mar 1, 2023 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Mar 1, 2023 Accepting new patients
Weill Medical College of Cornell Nurse Anesthetist, Certified Registered CurrentSince Sep 11, 2023 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients
Weill Medical College of Cornell CurrentSince Sep 11, 2023 Accepting new patients
North Shore - Lij Anesthesiology, PC CurrentSince Nov 1, 2021 Accepting new patients
Upstate Anesthesia Services, P.C. CurrentSince Aug 1, 2025 Accepting new patients
Jamaica Anesthesiologist, PC CurrentSince Jun 6, 2025 Accepting new patients

Locations

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

7901 Broadway
Flushing, NY 11373
Phone (718) 334-2156

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929

80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889

50 Water St
Fl 3
New York, NY 10004

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

525 E 68th St
#585
New York, NY 10065
Phone (212) 746-2059

170 William St
New York, NY 10038
Phone (212) 238-0100

8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: antekim1486121@nychhc.direct-ci.com

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.

Hospital & facility affiliations 5

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": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729987200000",
    "number": "1841859964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100226102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5645 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555045",
            "telephone_number": "646-962-9930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7901 Broadway # E2-69",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113731329",
            "country_code": "US",
            "telephone_number": "718-334-2488",
            "fax_number": "718-334-5006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NTEKIM",
        "first_name": "ATIM",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2024-10-27",
        "certification_date": "2024-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "636009",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "636009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2024; 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.