MR. MAMDOH MICHAEL CRNA
NPI 1568796530
Nurse Anesthetist, Certified Registered in Somerset, NJ

Active since September 24, 2009PECOS EnrolledAccepts Medicare Assignment
285 DAVIDSON AVE, SUITE 204, SOMERSET, NJ 08873(732) 271-1400(609) 631-6839 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 2, 2023, May 11, 2016 (2 updates tracked since 2016).

About Mr. Mamdoh Michael Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MAMDOH MICHAEL CRNA (NPI 1568796530) is an individual nurse anesthetist, certified registered in Somerset, New Jersey, licensed in New Jersey (26NJ00274800) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and maintains a secondary practice location in Lakewood.

NPPES Registry Identity

NPI1568796530
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. MAMDOH MICHAELCredential: CRNA
Location Address285 DAVIDSON AVE, SUITE 204Somerset, NJ 08873-4153
Mailing Address285 Davidson Ave, Suite 204Somerset, NJ 08873-4153 · (732) 271-1400 · Fax (609) 631-6839
Fax(609) 631-6839
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 24, 2009
Last NPPES UpdateJune 2, 20232 updates tracked since enumeration
NPPES CertifiedJune 2, 2023
✔ NPI 1568796530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in NJ · 26NJ00274800
Definition
(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.
285 DAVIDSON AVE, Somerset, NJ 08873

Secondary Practice Location 1

Location 1360 Route 70Lakewood, NJ 08701-5823 · Phone (732) 942-9835

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Mamdoh Michael Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375670011
PECOS Enrollment IDI20100428000688
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Mamdoh Michael reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
125 PATERSON ST STE 5123
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 492 clinicians in this Medicare group
Emergency Medicine
29 E 29TH ST
Bayonne, NJ 07002
  • Reassigned Medicare billing, New Jersey enrollment
  • 637 clinicians in this Medicare group
Anesthesiology
703 MAIN ST
Paterson, NJ 07503
  • Reassigned Medicare billing, New Jersey enrollment
  • 177 clinicians in this Medicare group
Anesthesiology
7600 RIVER RD
North Bergen, NJ 07047
  • Reassigned Medicare billing, New Jersey enrollment
  • 464 clinicians in this Medicare group
Anesthesiology
30 PROSPECT AVENUE
Hackensack, NJ 07601
  • Reassigned Medicare billing, New Jersey enrollment
  • 781 clinicians in this Medicare group
Anesthesiology
480 BEDFORD RD BLDG B
Chappaqua, NY 10514
  • Reassigned Medicare billing, New York enrollment
  • 1,406 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
24 services24 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Saint Peter's University Hospital

Acute Care Hospitals · New Brunswick, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310070
Location254 Easton AveNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08873 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Pre-operative OSA assessment
Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)
37%279 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
285 DAVIDSON AVE, SUITE 204
SOMERSET, NJ 08873
Anesthesiology (Pediatric Anesthesiology)
285 DAVIDSON AVE, SUITE 204
SOMERSET, NJ 08873
Nurse Anesthetist, Certified Registered
285 DAVIDSON AVE, STE 204
SOMERSET, NJ 08873
Anesthesiology
285 DAVIDSON AVE, SUITE 204
SOMERSET, NJ 08873
Anesthesiology
285 DAVIDSON AVE, SUITE 204
SOMERSET, NJ 08873
Anesthesiology
285 DAVIDSON AVE, SUITE 204
SOMERSET, NJ 08873
Anesthesiology
285 DAVIDSON AVE, ACNJ - THIRD FLOOR
SOMERSET, NJ 08873
Anesthesiology
285 DAVIDSON AVE, SUITE 204
SOMERSET, NJ 08873

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mamdoh Michael's NPI number?

The NPI number for Mamdoh Michael is 1568796530. It was assigned to this individual provider in the NPPES registry on September 24, 2009.

Where is Mamdoh Michael located?

Mamdoh Michael practices at 285 Davidson Ave Suite 204, Somerset, NJ 08873. The listed phone number is (732) 271-1400.

What is Mamdoh Michael's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Mamdoh Michael enrolled in Medicare?

Yes. Mamdoh Michael is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mamdoh Michael's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mamdoh Michael reassigns Medicare benefits to 6 organizations: Rutgers Health-Rwj Pediatric Critical Care (New Brunswick, NJ), Garden State Healthcare Associates, LLC (Bayonne, NJ), North American Partners In Anesthesia Of New Jersey LLC (Paterson, NJ), Parkway Anesthesia Associates LLC (North Bergen, NJ), New Jersey Healthcare Specialists PC (Hackensack, NJ) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mamdoh Michael's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mamdoh Michael accept?

Health plans from Oscar Health list Mamdoh Michael as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mamdoh Michael affiliated with any hospitals?

According to CMS data, Mamdoh Michael is affiliated with Robert Wood Johnson University Hospital and Saint Peter's University Hospital.

When was this NPI record last updated?

The NPPES record for Mamdoh Michael was last updated on June 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.