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

Mr. Mamdoh Michael, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1568796530

Mr. Mamdoh Michael, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Somerset, New Jersey. Qualified in 2009, 17 years ago. Practices with Rutgers Health-Rwj Pediatric Critical Care, a 152-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
17
Licensed in
NJ
In the registry since
2009
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

285 Davidson Ave Ste 204
Somerset, NJ 08873-4153
Phone: (732) 271-1400
Fax: (609) 631-6839
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 360 Route 70, Lakewood, NJ 08701-5823 — (732) 942-9835

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 26NJ00274800 (NJ)

Record details

NPI number1568796530
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedSeptember 24, 2009
Last updated in NPPESJune 2, 2023
Certification dateJune 2, 2023
Mailing address285 Davidson Ave, Suite 204, Somerset, NJ 08873-4153

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Rutgers Health-Rwj Pediatric Critical Care — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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