Active NPI
Daniel Massengale, CRNA
- Certified Registered Nurse Anesthetist
- Binghamton, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 054081
- Practice address
- 40 Front St
Riverside Assoc in Anesthesia PC
Binghamton, NY 13905-4712 - Phone
- (607) 722-7264
- Fax
- (607) 722-7869
- NPI assigned
- Oct 4, 2005
- Last updated
- Dec 4, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 533659 | NY | |
| Certified Registered Nurse Anesthetist | 367500000X | 054081 | NY | Primary |
| Registered Nurse | 163W00000X | 533659 | NY |
Addresses
Primary practice location
40 Front St
Riverside Assoc in Anesthesia PC
Binghamton, NY 13905-4712
Mailing address
Riverside Assoc in Anesthesia
40 Front St. Ste C
Binghamton, NY 13905
Phone (607) 722-7264
Other practice location 1
156 Corliss Ave
Ste 107
Johnson City, NY 13790
Phone (607) 763-6735
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, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 -24 Mitchell Ave
Binghamton, NY 13903-1617
Phone (607) 762-3131
169 Riveride Dr
Binghamton, NY 13905-4246
Phone (607) 722-7264
33 -57 Harrison St
Johnson City, NY 13790-2107
Phone (607) 763-6101
52 Harrison St
Johnson City, NY 13790-2120
Phone (607) 763-5898
54 Main St
Candor, NY 13743-1619
Phone (607) 659-7272
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054081 | NY | MD | Pharmacist |
| 533659 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Associates in Anesthesia PC | Current | Accepting new patients | |
| United Health Services Hospitals, Inc. | Current | Accepting new patients | |
| Susquehanna Anesthesia Affiliates, PC | Past | Accepting new patients |
Locations
169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Binghamton, NY
- NPI 1740276203
-
- Multi-Specialty Clinic/Center
- Johnson City, NY
- NPI 1962463851
-
- Specialist
- Johnson City, NY
- NPI 1669427456
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lourdes
- General Acute Care Hospital
- Binghamton, NY
- NPI 1629087580
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1518998699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764806400000",
"number": "1962499954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RIVERSIDE ASSOC IN ANESTHESIA",
"address_2": "40 FRONT ST. STE C",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "13905",
"telephone_number": "607-722-7264",
"fax_number": "607-722-7869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 FRONT ST",
"address_2": "RIVERSIDE ASSOC IN ANESTHESIA PC",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139054712",
"telephone_number": "607-722-7264",
"fax_number": "607-722-7869"
}
],
"practiceLocations": [
{
"address_1": "156 Corliss Ave",
"address_2": "Ste 107",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "NY",
"postal_code": "13790",
"country_code": "US",
"telephone_number": "607-763-6735",
"fax_number": "607-763-6736",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASSENGALE",
"first_name": "DANIEL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2025-12-04",
"certification_date": "2025-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "533659",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "054081",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "533659",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Binghamton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.