Active NPI
Kevin Gadomski, CRNA
- Certified Registered Nurse Anesthetist
- Newark, DE
National Provider Identifier
1922018134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 26NR08648400
- Practice address
- 111 Continental Dr
Suite 412
Newark, DE 19713-4306 - Phone
- (302) 709-4497
- Fax
- (302) 733-0854
- NPI assigned
- Aug 9, 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 | 26NR08648400 | NJ | Primary |
Addresses
Primary practice location
111 Continental Dr
Suite 412
Newark, DE 19713-4306
Mailing address
111 Continental Dr
Suite 412
Newark, DE 19713-4306
Phone (302) 709-4497
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041214000237 | NJ | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2961469770 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 89.65 of 100
- Quality
- 85.05
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR08648400 | NJ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Mid-Atlantic Anesthesia Associates PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Philadelphia Health & Education Corporation | Past | Accepting new patients | |
| Haverford Anesthesia Associates-NJ, P.C. | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Elmer, NJ
- NPI 1538112537
-
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1356496038
-
- Anesthesiology Physician
- Pottsville, PA
- NPI 1073789244
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922018134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CONTINENTAL DR",
"address_2": "SUITE 412",
"city": "NEWARK",
"state": "DE",
"postal_code": "197134306",
"telephone_number": "302-709-4497",
"fax_number": "302-733-0854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 CONTINENTAL DR",
"address_2": "SUITE 412",
"city": "NEWARK",
"state": "DE",
"postal_code": "197134306",
"telephone_number": "302-709-4497",
"fax_number": "302-733-0854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GADOMSKI",
"first_name": "KEVIN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26NR08648400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
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.