Fred Prendergass, CRNA | |
355 Grand St, Jersey City, NJ 07302-4321 | |
(201) 915-2405 | |
Not Available |
Full Name | Fred Prendergass |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 25 Years |
Location | 355 Grand St, Jersey City, 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 |
---|---|---|---|
1104855345 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 26NJ00212000 (New Jersey) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 51286 (New Jersey) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Jersey City Medical Center | Jersey city, NJ | Hospital |
Palisades Medical Center | North bergen, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Parkway Anesthesia Associates Llc | 2567758931 | 147 |
Rwjbh Observation Associates Llc | 5193137503 | 639 |
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 | Parkway Anesthesia Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518319755 PECOS PAC ID: 2567758931 Enrollment ID: O20160912000258 |
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 |
Mailing Address | Practice Location Address |
---|---|
Fred Prendergass, CRNA 3998 Fair Ridge Dr, Suite 300, Fairfax, VA 22033-2907 Ph: (703) 295-9360 | Fred Prendergass, CRNA 355 Grand St, Jersey City, NJ 07302-4321 Ph: (201) 915-2405 |
Lynne Cartoccio, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 355 Grand St, Jersey City, NJ 07302 Phone: 201-915-2000 | |
Evelyn Coronado, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 355 Grand St, Jersey City, NJ 07302 Phone: 201-915-2000 Fax: 201-915-2701 | |
Donna-vivian V De Belen, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 355 Grand St, Jersey City, NJ 07302 Phone: 201-915-2405 | |
Benedicta O Espinosa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 355 Grand St, Jersey City, NJ 07302 Phone: 201-915-2000 Fax: 201-915-2701 | |
Allison Rose Roman, DNP, APN-CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 355 Grand St, Jersey City, NJ 07302 Phone: 201-915-2000 | |
Michael Mongiello, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 355 Grand St, Jersey City, NJ 07302 Phone: 201-915-2000 |