ALYSSA GRANHOLM (NPI# 1851756647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851756647 |
| Entity Type | Individual |
| Full Name | ALYSSA GRANHOLM |
| Practice Address |
1 Robert Wood Place New Brunswick NJ 08901 |
| Mailing Address |
540 Country Club Rd Bridgewater NJ 08807-1661 |
| Practice Telephone | 7328283000 |
| Mailing Telephone | 7328283000 |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2017-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 26NR14710200 | NJ | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 26NJ00619900 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 ROBERT WOOD PLACE |
| City | NEW BRUNSWICK |
| State | NJ |
| Zip Code | 08901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720292667 | Elizabeth Natalie Lacsamana | Nurse Practitioner | 1 Robert Wood Place, Special Procedures, New Brunswick, NJ 08901 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083242622 | Daniel Kareem Haddad | Student in an Organized Health Care Education/Training Program | 1 Robert Wood Johnson Place, Meb 422a, New Brunswick, NJ 08901 | 2020-03-30 |
| 1922636588 | Neil Anjan Basumallik | Student in an Organized Health Care Education/Training Program | Rutgers Rwjms, Department of Medicine, 125 Paterson Street. Cab 7300, New Brunswick, NJ 08901 | 2020-03-30 |
| 1922636406 | Naveena Lall | Student in an Organized Health Care Education/Training Program | Rutgers Robert Wood Johnson Internal Medicine Residency, 125 Paterson Street, New Brunswick, NJ 08901 | 2020-03-30 |
| 1801444047 | Swati Vijay Dhobale | Student in an Organized Health Care Education/Training Program | Saint Peter's University Hospital, 254 Easton Avenue, 4th Floor, Cares Room 4014, New Brunswick, NJ 08901 | 2019-08-30 |
| 1962974329 | Lauren Burgstresser | Nurse Practitioner | 181 Somerset Street, 3rd Floor, New Brunswick, NJ 08901 | 2018-12-26 |
| 1851874291 | Damon House Inc. | Substance Abuse Rehabilitation Facility | 105 Joyce Kilmer Ave, New Brunswick, NJ 08901 | 2018-09-12 |
| 1245718204 | Leah Dinardo | Psychologist | 61 Nichol Ave, New Brunswick, NJ 08901 | 2018-08-01 |
| 1730667130 | Keshav Bhandari | Student in an Organized Health Care Education/Training Program | Saint Peters University Hospital, 254 Easton Avenue, 4th Floor Cares, Rm 4014, New Brunswick, NJ 08901 | 2018-07-30 |
| 1942787486 | Mehak Bassi | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-27 |
| 1063908754 | Oluwatoba Opeyemi Moninuola | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014, 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-05 |
| Find all providers in zip 08901 | ||||
| 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 |
|---|---|---|---|---|
| 1477550994 | Tracy E Castleman | Nurse Anesthetist, Certified Registered | 125 Paterson Street, New Brunswick, NJ 08901-1977 | 2005-06-30 |
| 1801366596 | Timothy Fangfan Shi | Nurse Anesthetist, Certified Registered | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2018-11-26 |
| 1013441732 | Hosana Razon Tordecilla | Nurse Anesthetist, Certified Registered | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2017-04-19 |
| 1780131243 | Jessica Lynn Grevesen | Nurse Anesthetist, Certified Registered | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2016-09-01 |
| 1750752200 | Adriana Essilfie | Nurse Anesthetist, Certified Registered | 125 Paterson St, Suite 3100, New Brunswick, NJ 08901-1962 | 2015-10-09 |
| 1073936985 | Mariah Reilly | Nurse Anesthetist, Certified Registered | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2014-01-28 |
| 1578857397 | Hansatu Nanguang | Nurse Anesthetist, Certified Registered | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2011-06-09 |
| 1225335763 | Bruno O. Beja-umukoro | Nurse Anesthetist, Certified Registered | 125 Paterson St, Suite 3100, New Brunswick, NJ 08901-1962 | 2011-02-18 |
| 1326266115 | Stacey L. Paulus | Nurse Anesthetist, Certified Registered | 125 Paterson St, Suite 3100, New Brunswick, NJ 08901-1962 | 2007-04-24 |
| 1841332277 | Mary Bardenhagen | Nurse Anesthetist, Certified Registered | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2007-02-13 |
| Find all providers in NEW BRUNSWICK | ||||
| City | NEW BRUNSWICK |
| Zip Code | 08901 |
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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.