Individual provider Active NPI

Patricia Puma, CRNA

  • Certified Registered Nurse Anesthetist
  • Suffern, NY
National Provider Identifier
1962446542
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
427370 Issued in NY
Practice address
255 Lafayette Ave
Suffern, NY 10901-4812
Phone
(845) 357-5775
Fax
(845) 357-5777
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 26NO07871700 NJ
Certified Registered Nurse Anesthetist 367500000X 427370 NY Primary

Addresses

Primary practice location

255 Lafayette Ave
Suffern, NY 10901-4812

Mailing address

100 Route 59
Suite 105
Suffern, NY 10901-4927
Phone (845) 357-5775

Other identifiers 1

IdentifierTypeStateIssuer
430043391OtherNJRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, GA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040708000668 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264410182 Reassigns benefits to 2 organizations
I20110623000416 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264410182 Reassigns benefits to 2 organizations
I20151007002160 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264410182 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ramapo Anesthesiologists, PCGroup PAC ID 3476444373, 78 clinicians

Practice addresses (Care Compare)

255 Lafayette Ave
Suffern, NY 10901-4812
Phone (845) 357-5775

Hospital & facility affiliations

  • Good Samaritan Hospital of Suffern Hospital, Suffern, NY, CCN 330158

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ambulatory Anesthesia Partners LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 24, 2019 Accepting new patients
North Perimeter Anesthesia LLC CurrentSince Apr 1, 2016 Accepting new patients
Xenon Anesthesia of Georgia LLC CurrentSince Aug 18, 2015 Accepting new patients
Mak Anesthesia Holdings LLC CurrentSince Feb 1, 2017 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2020 Accepting new patients
Igor Amigud Physician P.C. CurrentSince May 1, 2014 Accepting new patients
Bay Anesthesia LLC CurrentSince May 1, 2023 Accepting new patients
Ramapo Anesthesiologists, PC CurrentSince Jan 1, 1996 Accepting new patients
Sentry Anesthesia Management, LLC CurrentSince Nov 7, 2016 Accepting new patients
Anesthesia Services of Practice Associates, PA CurrentSince Feb 28, 2022 Accepting new patients
Anesthesia and Pain Management Group, LLC Past Accepting new patients
Northern Valley Anesthesiology, P.a. Past Accepting new patients

Locations (25 of 26)

6464 W Sunset Blvd
Ste 790
Los Angeles, CA 90028

7431 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 689-7000

3330 Preston Ridge Rd
Ste 200
Alpharetta, GA 30005
Phone (404) 255-1000

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679

1457 Scott Blvd
Decatur, GA 30030
Phone (404) 292-2500

3400 McClure Bridge Rd
Ste A102
Duluth, GA 30096
Phone (917) 621-6854

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

226 E College St
#A
Griffin, GA 30224
Phone (678) 987-1490

10692 Medlock Bridge Rd
Ste 100A
Johns Creek, GA 30097
Phone (404) 446-2492

301 Philip Blvd
Ste B
Lawrenceville, GA 30046
Phone (770) 682-7220

488 Kennesaw Ave NW
Ste 100
Marietta, GA 30060
Phone (770) 427-3075

1200 Lower Fayetteville Rd
#A
Newnan, GA 30265
Phone (404) 881-1094

34 Upper Riverdale Rd SE
Ste 201
Riverdale, GA 30274
Phone (678) 904-0094

5669 Peachtree Dunwoody Rd
Ste 290
Sandy Springs, GA 30342
Phone (678) 399-2050

1100 Johnson Fy Rd NE
Ste 200
Sandy Springs, GA 30342
Phone (404) 257-1900

561 Cranbury Rd
East Brunswick, NJ 08816
Phone (201) 620-3010

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

97 W Parkway
Pompton Plns, NJ 07444
Phone (973) 831-5000

233 Lafayette Ave
Ste LL5
Suffern, NY 10901
Phone (914) 794-7741

100 Route 59
Ste 111
Suffern, NY 10901
Phone (845) 369-9701

133 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

100 Route 59
Ste 105
Suffern, NY 10901
Phone (845) 357-5745

Organizations & group practices 12

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 1

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1962446542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ROUTE 59",
            "address_2": "SUITE 105",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014927",
            "telephone_number": "845-357-5775",
            "fax_number": "845-357-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 LAFAYETTE AVE",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014812",
            "telephone_number": "845-357-5775",
            "fax_number": "845-357-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUMA",
        "first_name": "PATRICIA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NO07871700",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "427370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "430043391",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.