Individual provider Active NPI

Bethany Taylor, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Union, NJ
National Provider Identifier
1992742035
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
26NR11018400 Issued in NJ
Practice address
1000 Galloping Hill Rd
Union, NJ 07083-7951
Phone
(908) 851-8346
Fax
(908) 851-8818
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 26NR11018400 NJ Primary

Addresses

Primary practice location

1000 Galloping Hill Rd
Union, NJ 07083-7951

Mailing address

PO Box 67
Kenilworth, NJ 07033-0067
Phone (201) 487-7227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130807000248 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880630847 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
State University of New York Downstate Medical Center, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Syracuse ASC LLCGroup PAC ID 2062586001, 23 clinicians
Chag Anesthesia PCGroup PAC ID 2668361973, 54 clinicians

Practice addresses (Care Compare)

225 Greenfield Pkwy
Suite 105
Liverpool, NY 13088-6656
Phone (315) 451-6911

4900 Broad Rd
Syracuse, NY 13215-2265

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chag Anesthesia PC CurrentSince Jun 1, 2013 Accepting new patients
Agcny Physicians PLLC CurrentSince Jul 1, 2013 Accepting new patients
Jefferson Anesthesiologist Services PC CurrentSince Oct 11, 2021 Accepting new patients
Syracuse ASC LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2025 Accepting new patients
Summit Anesthesia Associates PA Past Accepting new patients
Sheridan Anesthesia Services of New Jersey PC Past Accepting new patients

Locations

260 Township Blvd
Ste 20
Camillus, NY 13031
Phone (315) 708-0091

4939 Brittonfield Pkwy
East Syracuse, NY 13057
Phone (315) 463-1600

4309 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 329-7300

4302 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 423-9722

225 Greenfield Pkwy
Ste 105
Liverpool, NY 13088
Phone (315) 451-6911

4900 Broad Rd
Ste 2D
Syracuse, NY 13215
Phone (315) 255-0606

195 Intrepid Ln
Syracuse, NY 13205
Phone (315) 469-6789

4900 Broad Rd
Bldg S
Syracuse, NY 13215
Phone (315) 299-5313

1226 E Water St
Syracuse, NY 13210
Phone (315) 423-7226

4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011

190 Intrepid Ln
Syracuse, NY 13205
Phone (315) 498-6200

1571 Washington St
Ste 302
Watertown, NY 13601

830 Washington St
Watertown, NY 13601
Phone (315) 785-4000

Interoperability endpoints

  • Direct secure messaging: btaylor29090@direct.upstate.edu

Organizations & group practices 6

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992742035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070330067",
            "telephone_number": "201-487-7227",
            "fax_number": "201-487-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GALLOPING HILL RD",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837951",
            "telephone_number": "908-851-8346",
            "fax_number": "908-851-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "BETHANY",
        "credential": "C.R.N.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NR11018400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

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.

Verify at the official NPI Registry.