Individual provider Active NPI

Michael Squillace, RN, CRNA

  • Certified Registered Nurse Anesthetist
  • Philadelphia, PA
National Provider Identifier
1962870931
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN512924L Issued in PA
Practice address
7600 Central Ave
Philadelphia, PA 19111-2442
Phone
(215) 728-2000
NPI assigned
Sep 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN512924L PA Primary

Addresses

Primary practice location

7600 Central Ave
Philadelphia, PA 19111-2442

Mailing address

325 Chestnut St Ste 210
Philadelphia, PA 19106-2602
Phone (267) 322-7701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ, VA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160106000159 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002806221 Reassigns benefits to 7 organizations
I20171106002612 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002806221 Reassigns benefits to 2 organizations
I20201020000227 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002806221

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woodbourne Anesthesia PCGroup PAC ID 0749284412, 5 clinicians
Rgal Anesthesia Services LLCGroup PAC ID 7517130602, 126 clinicians
United Anesthesia Services PCGroup PAC ID 3173437613, 437 clinicians

Practice addresses (Care Compare)

1339 Woodbourne Rd
Levittown, PA 19057-1236
Phone (215) 547-4409

2112 Harrisburg Pike
Suite 202
Lancaster, PA 17601-2644
Phone (717) 869-4600

595 W State St Doylestown Hospital
Doylestown, PA 18901-2597
Phone (215) 345-2321

744 W Lancaster Ave
Wayne, PA 19082-2523
Phone (610) 645-2000

Hospital & facility affiliations

  • Doylestown Hospital Hospital, Doylestown, PA, CCN 390203

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN512924LPAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Society Hill Anesthesia Consultants of New Jersey, PC CurrentSince Aug 1, 2018 Accepting new patients
North American Partners in Anesthesia, Pennsylvania , LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 21, 2018 Accepting new patients
Woodbourne Anesthesia, PC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2024 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
GSC Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Feb 25, 2024 Accepting new patients
Society Hill Anesthesia Consultants, PC CurrentSince Jan 15, 2016 Accepting new patients
Einstein Practice Plan Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 8, 2023 Accepting new patients
PGC Endoscopy Center for Excellence, LLC CurrentSince Jan 4, 2022 Accepting new patients
Rgal Anesthesia Services LLC CurrentSince Apr 23, 2023 Accepting new patients
Einstein Practice Plan, Inc CurrentSince Nov 8, 2023 Accepting new patients
Society Hill Anesthesia Consultants Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

408 Route 70 E
Cherry Hill, NJ 08034
Phone (267) 322-7700

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

2104 Harrisburg Pike
Ste 300
Lancaster, PA 17601
Phone (717) 544-3400

1339 Woodbourne Rd
Levittown, PA 19057
Phone (215) 547-3441

5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

2000 Grant Ave
Ste 101
Philadelphia, PA 19115
Phone (215) 990-6002

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

7600 Central Ave
Philadelphia, PA 19111
Phone (215) 707-5522

700 Cottman Ave
Ste 201
Philadelphia, PA 19111
Phone (215) 742-8123

800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867

Organizations & group practices 13

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.

View all 13

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": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1962870931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 CHESTNUT ST STE 210",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191062602",
            "telephone_number": "267-322-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 CENTRAL AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112442",
            "telephone_number": "215-728-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUILLACE",
        "first_name": "MICHAEL",
        "credential": "RN, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN512924L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.