Active NPIIndividual provider

Boris G Kouanang, CRNA

Nurse Anesthetist, Certified Registered in Livingston, New Jersey

NPI Number1154086643
Practice location
94 Old Short Hills RD Ste 1, Livingston, NJ 07039-5668
Fax
—
Last updated
November 1, 2021

Boris G Kouanang is a Nurse Anesthetist, Certified Registered based in Livingston, NJ. Boris G Kouanang practices in Livingston, NJ and has the professional credentials of CRNA. The NPI Number for Boris G Kouanang is 1154086643 and holds a License No. 26NJ01224000 (NJ). The current practice location address for Boris G Kouanang is 94 Old Short Hills RD Ste 1, Livingston, NJ 07039-5668 and can be reached out via phone at 973-322-5000.

Provider Profile Details

NPI Number
1154086643
Provider Name
Boris G Kouanang
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
94 Old Short Hills RD Ste 1, Livingston, NJ 07039-5668
Phone Number
973-322-5000
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Provider Enumeration Date
November 1, 2021
Last Update Date
November 1, 2021
Certification Date
August 12, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
94 Old Short Hills RD Ste 1
Livingston, NJ 07039-5668
Zip
07039-5668
Phone Number
973-322-5000
Livingston, NJ 07039Get directions →

Provider Business Mailing Address Details

Address
200 Boyden Ave Apt 374
Maplewood, NJ 07040-2685
City
Maplewood
State
NJ
Zip
07040-2685
Phone Number
609-218-7884

License Information

License Number
26NJ01224000
License State
NJ
Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Boris G Kouanang, CRNA?

The NPI number of Boris G Kouanang, CRNA is 1154086643. It was assigned on November 1, 2021 and is currently active in the NPPES registry.

What is the specialty of Boris G Kouanang, CRNA?

Boris G Kouanang, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in NJ under license number 26NJ01224000.

Where does Boris G Kouanang, CRNA practice?

The practice location is 94 Old Short Hills RD Ste 1, Livingston, NJ 07039-5668. The office can be reached at 973-322-5000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154086643 directly on the NPPES registry website.

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