Active NPI
Christina Marie Hendershot, CRNA
- Specialist
- Rocky Point, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 501428-1
- Practice address
- 333 Route 25a
Rocky Point, NY 11778-8556 - Phone
- (631) 744-3671
- Fax
- (631) 744-6205
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 501428-1 | NY | Primary |
Addresses
Primary practice location
333 Route 25a
Rocky Point, NY 11778-8556
Mailing address
464 Nichols Rd
Hauppauge, NY 11788-5013
Phone (631) 979-9436
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 501428-1 | Other | NY | REGISTRATION CERTIFICATE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070607000096 | NY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8022116532 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
28 Research Way
East Setauket, NY 11733-3453
Phone (631) 380-2710
50 Route 25a
Smithtown, NY 11787-1348
Phone (631) 862-3000
Hospital & facility affiliations
- St Charles Hospital
- St Catherine of Siena Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 501428-1 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| Office Based Anesthesia LLC | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Long Island Anesthesia Physicians LLP | Current | Accepting new patients | |
| Suffolk Anesthesiology Associates, PC | Current | Accepting new patients | |
| Stony Brook Medical Center | Past | Accepting new patients |
Locations
185 Central Ave
Bethpage, NY 11714
Phone (516) 733-7100
28 Research Way
East Setauket, NY 11733
Phone (631) 380-2710
340 Broadhollow Rd
Farmingdale, NY 11735
Phone (516) 931-0041
975 Stewart Ave
Garden City, NY 11530
Phone (516) 222-8600
488 Great Neck Rd
Great Neck, NY 11021
Phone (516) 466-1151
400 Townline Rd
Ste 135
Hauppauge, NY 11788
Phone (631) 360-0266
125 Kennedy Dr
Ste 300
Hauppauge, NY 11788
Phone (934) 223-4500
61 Southern Blvd
Nesconset, NY 11767
Phone (631) 659-1700
1991 Marcus Ave
Ste 1010
New Hyde Park, NY 11042
Phone (631) 360-4000
530 1st Ave
New York, NY 10016
Phone (212) 263-7216
200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000
75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320
9785 Queens Blvd
Rego Park, NY 11374
Phone (631) 360-0266
889 E Main St
Ste 308
Riverhead, NY 11901
Phone (631) 386-3500
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
373 Route 111
Ste 7
Smithtown, NY 11787
Phone (631) 360-4000
50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225
Interoperability endpoints
- christina.hendershot@direct.stonybrookmedicine.edu
Organizations & group practices 7
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.
-
- Certified Registered Nurse Anesthetist
- Stony Brook, NY
- NPI 1427194992
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1952392961
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Smithtown, NY
- NPI 1982663423
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861523946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "464 NICHOLS RD",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117885013",
"telephone_number": "631-979-9436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 ROUTE 25A",
"city": "ROCKY POINT",
"state": "NY",
"postal_code": "117788556",
"telephone_number": "631-744-3671",
"fax_number": "631-744-6205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSHOT",
"first_name": "CHRISTINA",
"middle_name": "MARIE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "501428-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTRATION CERTIFICATE",
"identifier": "501428-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Point, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.