Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Edjona Groysman

Individual provider Certified Registered Nurse Anesthetist · NPI 1164921326

Edjona Groysman is a Certified Registered Nurse Anesthetist (CRNA) in Staten Island, New York. Qualified in 2018, 8 years ago. Practices with North Shore - Lij Anesthesiology, PC, a 1,004-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2018
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Practice location Address checks out

130 Stroud Ave
Staten Island, NY 10312-3244
Phone: (347) 215-2015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 66 West Gilbert Street, Red Bank, NJ 07701 — (732) 212-0060

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 585720 (NY)

Record details

NPI number1164921326
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 2, 2018
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice North Shore - Lij Anesthesiology, Pc — 1004 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Staten Island