Individual provider Active NPI

Christina Marie Hendershot, CRNA

  • Specialist
  • Rocky Point, NY
National Provider Identifier
1861523946
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
501428-1 Issued in NY
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
501428-1OtherNYREGISTRATION CERTIFICATE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Office Based Anesthesia LLCGroup PAC ID 2163400375, 12 clinicians
Suffolk Anesthesiology Associates PCGroup PAC ID 6204725740, 78 clinicians

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 Hospital, Port Jefferson, NY, CCN 330246
  • St Catherine of Siena Hospital Hospital, Smithtown, NY, CCN 330401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
501428-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince May 6, 2024 Accepting new patients
Office Based Anesthesia LLC CurrentSince Jul 1, 2023 Accepting new patients
New York University CurrentSince May 6, 2024 Accepting new patients
New York University Current Accepting new patients
Long Island Anesthesia Physicians LLP CurrentSince Feb 10, 2007 Accepting new patients
Suffolk Anesthesiology Associates, PC CurrentSince May 1, 2007 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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.

Verify at the official NPI Registry.