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

Mr. Ishu Kumar

Individual provider Certified Registered Nurse Anesthetist · NPI 1043631013

Mr. Ishu Kumar is a Certified Registered Nurse Anesthetist (CRNA) in Staten Island, New York. Graduated from Rutgers New Jersey Medical School in 2014, 12 years ago. Practices with North Shore - Lij Anesthesiology, PC, a 1,004-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Trained at
Rutgers New Jersey Medical School
Licensed in
NY
In the registry since
2013
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Practice location Address checks out

411 Holdridge Ave
Staten Island, NY 10312-2174
Phone: (646) 358-2549
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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 599018 (NY)

Record details

NPI number1043631013
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 18, 2013
Last updated in NPPESDecember 17, 2018

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 2014 (12 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

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