Active NPI
Patrick Joseph Koehler, CRNA
- Certified Registered Nurse Anesthetist
- Cedarhurst, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3092481
- Practice address
- 232 Fair Oaks PL
Cedarhurst, NY 11516-1807 - Phone
- (516) 528-9582
- Fax
- (516) 536-4495
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 3092481 | NY | Primary |
Addresses
Primary practice location
232 Fair Oaks PL
Cedarhurst, NY 11516-1807
Mailing address
232 Fair Oaks PL
Cedarhurst, NY 11516-1807
Phone (516) 528-9582
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Woods Rd
Valhalla, NY 10595-1530
1110 Hallock Ave
Port Jefferson Station, NY 11776-1210
Phone (631) 476-9100
396 Broadway
Kingston, NY 12401-4626
Phone (845) 331-3131
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3092481 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Fork Surgery Center LLC | Current | Accepting new patients | |
| North American Partners in Anesthesia LLP | Current | Accepting new patients | |
| Long Island Anesthesia Physicians LLP | Current | Accepting new patients | |
| Quality Medical Management Corp | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North Fork Surgery Center LLC | Current | Accepting new patients | |
| Peconic Anesthesiologist, P.C. | Past | Accepting new patients |
Locations
301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977
11 E Fordham Rd
Ste A
Bronx, NY 10468
Phone (631) 446-1190
374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485
3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171
1324 Motor Pkwy
Ste 101
Islandia, NY 11749
Phone (516) 850-8143
16203 Jamaica Ave
Ste 200
Jamaica, NY 11432
Phone (347) 429-7699
3636 33rd St
Ste 204
Long Island City, NY 11106
Phone (631) 446-1190
300 Old Country Rd
Fl 4
Mineola, NY 11501
Phone (516) 747-9232
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
1110 Hallock Ave
Port Jefferson Station, NY 11776
Phone (631) 476-9100
200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000
1149 Old Country Rd
Riverhead, NY 11901
Phone (631) 727-3000
1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000
700 Boisseau Ave
Southold, NY 11971
Phone (631) 477-5353
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
- Port Jefferson Station, NY
- NPI 1114502606
Nurse Anesthetist, Certified Registered
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
- Anesthesiology Physician
- Rocky Point, NY
- NPI 1952387276
-
- Ambulatory Surgical Clinic/Center
- Southold, NY
- NPI 1295365864
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
-
- Anesthesiology Physician
- Southold, NY
- NPI 1275134314
-
- Anesthesiology Physician
- Riverhead, NY
- NPI 1336167881
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kingston, NY
- NPI 1932182599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514246400000",
"number": "1891809125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 FAIR OAKS PL",
"city": "CEDARHURST",
"state": "NY",
"postal_code": "115161807",
"telephone_number": "516-528-9582",
"fax_number": "516-536-4495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 FAIR OAKS PL",
"city": "CEDARHURST",
"state": "NY",
"postal_code": "115161807",
"telephone_number": "516-528-9582",
"fax_number": "516-536-4495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOEHLER",
"first_name": "PATRICK",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2017-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "3092481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedarhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.