Individual provider Active NPI

Nancy Schillizzi, CRNA

  • Certified Registered Nurse Anesthetist
  • Manorville, NY
National Provider Identifier
1851635270
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
530135 Issued in NY
Practice address
203 Gothic Cir
Manorville, NY 11949-2622
Phone
(516) 967-7666
NPI assigned
Nov 26, 2012
Last updated
Nov 26, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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 530135 NY Primary

Addresses

Primary practice location

203 Gothic Cir
Manorville, NY 11949-2622

Mailing address

203 Gothic Cir
Manorville, NY 11949-2622
Phone (516) 967-7666

Other names 1

  • Nancy Roux Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140721001485 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022234434 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Columbia University College of Physicians and Surgeons, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore - Lij Anesthesiology, PCGroup PAC ID 1153602453, 990 clinicians

Practice addresses (Care Compare)

1 Heroes Way
Riverhead, NY 11901-2054
Phone (631) 548-6000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Suffolk Anesthesiology Associates, PC CurrentSince Aug 11, 2020 Accepting new patients
North Shore - Lij Anesthesiology, PC CurrentSince Mar 1, 2020 Accepting new patients
Long Island Anesthesia Physicians LLP CurrentSince May 1, 2013 Accepting new patients

Locations

340 Broadhollow Rd
Farmingdale, NY 11735
Phone (516) 931-0041

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

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000

333 Route 25A
Ste 225
Rocky Point, NY 11778
Phone (631) 503-1400

48 Route 25A
Ste 105
Smithtown, NY 11787
Phone (631) 360-4000

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

Networks

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

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.

Hospital & facility affiliations 1

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": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1851635270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 GOTHIC CIR",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119492622",
            "telephone_number": "516-967-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 GOTHIC CIR",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119492622",
            "telephone_number": "516-967-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILLIZZI",
        "first_name": "NANCY",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "530135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "ROUX",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manorville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.