| Boris G Kouanang, CRNA | |
|
94 Old Short Hills Rd Ste 1, Livingston, NJ 07039-5668 | |
| (973) 322-5000 | |
| Not Available |
| Full Name | Boris G Kouanang |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 94 Old Short Hills Rd Ste 1, Livingston, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154086643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 26NJ01224000 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Barnabas Medical Center | Livingston, NJ | Hospital |
| Jfk Medical Center | Edison, NJ | Hospital |
| The University Hospital | Newark, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| New Jersey Healthcare Specialists Pc | 2668385253 | 550 |
| Rwjbh Observation Associates Llc | 5193137503 | 783 |
| University Hospital | 5294636874 | 76 |
| Entity Name | New Jersey Healthcare Specialists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174585780 PECOS PAC ID: 2668385253 Enrollment ID: O20031110000555 |
| Entity Name | University Hospital |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1609045277 PECOS PAC ID: 5294636874 Enrollment ID: O20080506000358 |
| Entity Name | North American Partners In Anesthesia Of New Jersey Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548433048 PECOS PAC ID: 5890867410 Enrollment ID: O20080626000318 |
| Entity Name | Rwjbh Observation Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760095806 PECOS PAC ID: 5193137503 Enrollment ID: O20201209000008 |
| Entity Name | Anesthesia Services Of Practice Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982295812 PECOS PAC ID: 0345659231 Enrollment ID: O20210505001423 |
| Mailing Address | Practice Location Address |
|---|---|
| Boris G Kouanang, CRNA 200 Boyden Ave Apt 374, Maplewood, NJ 07040-2685 Ph: (609) 218-7884 | Boris G Kouanang, CRNA 94 Old Short Hills Rd Ste 1, Livingston, NJ 07039-5668 Ph: (973) 322-5000 |
Andres Felipe Sepulveda, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039 Phone: 973-322-5000 | |
Christina M Starker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039 Phone: 973-322-5000 Fax: 973-660-9779 | |
Ms. Randi Terry Davis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 S Orange Ave, Livingston, NJ 07039 Phone: 973-577-4056 | |
Cori Kutzin, APN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039 Phone: 973-322-5000 | |
Nguyen Thanh Bui, DNP, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039 Phone: 973-322-5000 | |
John A Coughlan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 S Orange Ave, Livingston, NJ 07039 Phone: 973-577-4056 |