Quality Certified Registered Nurse Anesthetist PC

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

446026 Issued in NY

Legal business name

QUALITY CERTIFIED REGISTERED NURSE ANESTHETIST PC

Practice address

5 5TH Ave
Bay Shore, NY 11706-7368

Phone

(631) 446-1190

Fax

(631) 787-6538

NPI assigned

Jan 13, 2016

Organization subpart

No

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

Authorized official

Name

James Missig, CRNA

Title

Ceo

Phone

(631) 446-1190

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1881050383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 5TH AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067368",
            "telephone_number": "631-446-1190",
            "fax_number": "631-787-6538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 5TH AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067368",
            "telephone_number": "631-446-1190",
            "fax_number": "631-787-6538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CERTIFIED REGISTERED NURSE ANESTHETIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "MISSIG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-446-1190",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "446026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.