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

Mary B. Derosa, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1164447686

Mary B. Derosa, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Newburgh, New York. Qualified in 2003, 23 years ago. Practices with 5000 Avenue K Medical Assocs PC, a 20-clinician group and accepts Medicare assignment. Licensed in New York and Pennsylvania.

Years since qualifying
23
Licensed in
NY, PA
In the registry since
2006
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

70 Duboi Street St Lukes Hospital
Newburgh, NY 12550
Phone: (845) 561-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 400637 (NY)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 400637-1 (NY)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RN357926L (PA)

Record details

NPI number1164447686
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 13, 2006
Last updated in NPPESNovember 8, 2019

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice 5000 Avenue K Medical Assocs Pc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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