| Ms Carol A Grant, CRNA | |
|
1 Bay Ave, Montclair, NJ 07042-4837 | |
| (973) 429-6275 | |
| Not Available |
| Full Name | Ms Carol A Grant |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 33 Years |
| Location | 1 Bay Ave, Montclair, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457486383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 26NJ00193000 (New Jersey) | Primary |
| 174400000X | Specialist | NO07563700 (New Jersey) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Overlook Medical Center | Summit, NJ | Hospital |
| Hackensack Meridian Mountainside Medical | Montclair, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| New Jersey Healthcare Specialists Pc | 2668385253 | 570 |
| North American Partners In Anesthesia Of New Jersey Llc | 5890867410 | 156 |
| 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 | 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Carol A Grant, CRNA 1305 Walt Whitman Rd Ste 300, Melville, NY 11747-4300 Ph: (516) 370-3861 | Ms Carol A Grant, CRNA 1 Bay Ave, Montclair, NJ 07042-4837 Ph: (973) 429-6275 |
Mr. Timothy L. Murry, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Bay Ave, Montclair, NJ 07042 Phone: 973-429-6250 |
Ljiljana Kovacevic, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 120 Chestnut St, Montclair, NJ 07042 Phone: 973-842-0464 Fax: 973-972-2357 |
Erin Ferber, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Bay Avenue, Mountainside Hospital, Montclair, NJ 07042 Phone: 973-429-6000 Fax: 845-357-5777 |
Dianne Gali, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Bay Ave, Anesthesia Office, Montclair, NJ 07042 Phone: 973-429-6219 Fax: 845-547-0740 |
Marci Viola, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Bay Ave, Anesthesia Office, Montclair, NJ 07042 Phone: 973-429-6219 Fax: 845-547-0740 |
John-eric Vallarta, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Bay Avenue, Mountainside Medical Center, Montclair, NJ 07042 Phone: 973-429-6000 |
Siju Mathew, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Bay Ave, Anesthesia Office, Montclair, NJ 07042 Phone: 973-429-6219 Fax: 845-547-0740 |