Individual provider Active NPI

Dorian J Youngblood, CRNA

  • Certified Registered Nurse Anesthetist
  • Browns Mills, NJ
National Provider Identifier
1871509067
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
11837200 Issued in NJ
Practice address
200 Trenton Road
Deborah Heart and Lung Center
Browns Mills, NJ 08048
Phone
(609) 893-6611
Fax
(609) 735-0415
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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 11837200 NJ Primary

Addresses

Primary practice location

200 Trenton Road
Deborah Heart and Lung Center
Browns Mills, NJ 08048

Mailing address

200 Trenton Road
Deborah Heart and Lung Center
Browns Mills, NJ 08048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050302000096 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264485200 Reassigns benefits to 4 organizations
I20231221003909 DE Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264485200 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Delaware LLCGroup PAC ID 8022428416, 125 clinicians
Bayhealth Medical Center, IncGroup PAC ID 1658364740, shared by 16 NPIs, 399 clinicians

Practice addresses (Care Compare)

100 Wellness Way
Milford, DE 19963-4364
Phone (302) 430-5738

640 S State St
Dover, DE 19901-3530

701 N Clayton St
Wilmington, DE 19805-3165
Phone (214) 687-0001

Hospital & facility affiliations

  • Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004
  • Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11837200NJMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Perioperative Medicine and Anesthesia PC CurrentSince May 29, 2019 Accepting new patients
Morris Anesthesia Group, PA CurrentSince Dec 31, 2018 Accepting new patients
Professional Service Fund of Deborah Heart & Lung Center Current Accepting new patients
North American Partners in Anesthesia of New Jersey LLC CurrentSince Jun 19, 2019 Accepting new patients
Morris Anesthesia Group, PA CurrentSince Dec 31, 2018 Accepting new patients
Bayhealth Medical Center, Inc. Current Accepting new patients
Professional Service Fund of Deborah- Anesthesia CurrentSince Apr 1, 2016 Accepting new patients
New Jersey Healthcare Specialists PC CurrentSince Jul 17, 2017 Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Oct 17, 2023 Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Oct 17, 2023 Accepting new patients
Northstar Anesthesia of Delaware, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2025 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Oct 17, 2023 Accepting new patients
Trenton Anesthesiology Associates PA Nurse Anesthetist, Certified Registered PastSince Oct 1, 2004 Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

495 Jack Martin Blvd
Ste 1
Brick, NJ 08724
Phone (732) 836-9800

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

601 Hamilton Ave
Trenton, NJ 08629
Phone (609) 599-5000

Organizations & group practices 13

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.

View all 13

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1871509067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TRENTON ROAD",
            "address_2": "DEBORAH HEART AND LUNG CENTER",
            "city": "BROWNS MILLS",
            "state": "NJ",
            "postal_code": "08048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TRENTON ROAD",
            "address_2": "DEBORAH HEART AND LUNG CENTER",
            "city": "BROWNS MILLS",
            "state": "NJ",
            "postal_code": "08048",
            "telephone_number": "609-893-6611",
            "fax_number": "609-735-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGBLOOD",
        "first_name": "DORIAN",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "11837200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Browns Mills, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.