Individual provider Active NPI

Judith M Dvorsky, CRNA

  • Certified Registered Nurse Anesthetist
  • Buffalo, NY
National Provider Identifier
1861662363
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN-221976L Issued in PA
Practice address
1001 Main St # K3502
Buffalo, NY 14203-1009
Phone
(716) 323-6570
NPI assigned
Mar 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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 RN-221976L PA Primary

Addresses

Primary practice location

1001 Main St # K3502
Buffalo, NY 14203-1009

Mailing address

1001 Main St # K3502
Buffalo, NY 14203-1009
Phone (716) 323-6570

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080512000452 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5597844852 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nextgen Anesthesia, LLCGroup PAC ID 6305357146, 15 clinicians

Practice addresses (Care Compare)

2 W Crescent Park
Warren, PA 16365-2111
Phone (814) 723-3300

Hospital & facility affiliations

  • Warren General Hospital Hospital, Warren, PA, CCN 390146
  • Warren General Hospital Hospital, Warren, PA, CCN 391319

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN-221976LPAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Anesthesia Experts PC Nurse Anesthetist, Certified Registered CurrentSince Mar 3, 2018 Accepting new patients
Great Lakes Anesthesiology, PC CurrentSince Feb 25, 2020 Accepting new patients
Nextgen Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 20, 2025 Accepting new patients

Locations

1001 Main St
Ste K3502
Buffalo, NY 14203
Phone (716) 323-6576

701 Boyce Rd
Bridgeville, PA 15017
Phone (412) 220-2336

2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1861662363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MAIN ST # K3502",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031009",
            "telephone_number": "716-323-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MAIN ST # K3502",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031009",
            "telephone_number": "716-323-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DVORSKY",
        "first_name": "JUDITH",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-11",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN-221976L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.