MARY B. DEROSA (NPI# 1164447686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164447686 |
| Entity Type | Individual |
| Full Name | MARY B. DEROSA |
| Credential | CRNA |
| Practice Address |
70 Duboi Street St. Lukes Hospital Newburgh NY 12550 |
| Mailing Address |
P.o. Box 550, 2 Catharine Street Mid-hudson Anethesiologist, PC Poughkeepsie NY 12602 |
| Practice Telephone | 8455614400 |
| Mailing Telephone | 8668852318 |
| Mailing Fax Number | 8457902675 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2019-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | RN357926L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 400637-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 400637 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
70 DUBOI STREET ST. LUKES HOSPITAL |
| City | NEWBURGH |
| State | NY |
| Zip Code | 12550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986057 | Jennifer Lauren Steckenrider | Optometrist | 1201 Ny-300, Newburgh, NY 12550 | 2019-05-06 |
| 1386103125 | Dorian Kim Shann | Physical Therapist | 53 Ny-17k Suite 2, Newburgh, NY 12550 | 2019-03-19 |
| 1083186100 | Kimberly Ellen Vondras | Registered Nurse | 21-23 Grand Street, Newburgh, NY 12550 | 2018-12-31 |
| 1487144887 | Jenna Gaudio | Dentist | 1413 Union Ave, Newburgh, NY 12550 | 2018-05-11 |
| 1215431119 | Diane Gonzales | Counselor | 3 Commercial Place, Newburgh, NY 12550 | 2018-03-23 |
| 1386148740 | Cvs Albany LLC | Pharmacy | 203 South Plank Rd, Newburgh, NY 12550 | 2018-03-21 |
| 1063939510 | Paula A. Coloni | Social Worker | One Maguire Way Stewart Air National Guard Base, Newburgh, NY 12550 | 2017-08-25 |
| 1306362652 | Richard Malvey | Counselor | 172 Liberty Street, Newburgh, NY 12550 | 2017-08-18 |
| 1770008559 | Walgreen Co | Pharmacy | 59 N Plank Rd Ste 2, Newburgh, NY 12550 | 2017-08-14 |
| 1639691017 | Danielle Elizabeth Ingrassia | Behavioral Analyst | 8 Crestwood Ct., Newburgh, NY 12550 | 2017-07-07 |
| Find all providers in zip 12550 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174541981 | Newburgh Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | 2177 Glenstone Ct, Newburgh, IN 47630-8074 | 2006-07-18 |
| 1366439911 | Emmanuella Pierre | Nurse Anesthetist, Certified Registered | St Lukes Hospital, 70 Dubois Street, Newburgh, NY 12550 | 2005-09-29 |
| 1265949028 | Monika M Kapusniak | Nurse Anesthetist, Certified Registered | 70 Dubois St, Newburgh, NY 12550-4851 | 2018-01-03 |
| 1669721023 | Abbie L Jungermann | Nurse Anesthetist, Certified Registered | 70 Dubois Street, St Lukes/ Cornwall Hospital, Newburgh, NY 12550 | 2012-08-31 |
| 1023241908 | Dorothy A Weiss | Nurse Anesthetist, Certified Registered | 70 Dubois Street, St. Lukes Hospital, Newburgh, NY 12550 | 2009-08-26 |
| 1124256656 | Kenneth W Martin | Nurse Anesthetist, Certified Registered | 70 Dubois Street, Mid-hudson Anesthesiologists, PC, Newburgh, NY 12550 | 2009-06-23 |
| 1679622914 | Lamin Ceesay | Nurse Anesthetist, Certified Registered | 70 Dubois Street, St. Lukes Hospital, Newburgh, NY 12550 | 2007-01-09 |
| 1619031416 | Deaconess Hospital, Inc | Nurse Anesthetist, Certified Registered | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2006-12-19 |
| 1609971597 | Sandra M Acevedo | Nurse Anesthetist, Certified Registered | 70 Dubois St, St. Lukes Hospital, Newburgh, NY 12550-4851 | 2006-09-14 |
| 1124123922 | Onidia C Weinert | Nurse Anesthetist, Certified Registered | 70 Dubois Street, St. Lukes Hospital, Newburgh, NY 12550 | 2006-09-14 |
| Find all providers in NEWBURGH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.