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

Nicholas Garguilo

Individual provider Registered Nurse · NPI 1861380115

Nicholas Garguilo is a Certified Registered Nurse Anesthetist (CRNA) in Smithtown, New York. Qualified in 2025, 1 year ago. Practices with North Shore - Lij Anesthesiology, PC, a 1,004-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

2 Greenwich Rd
Smithtown, NY 11787-2405
Phone: (631) 835-3250
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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 786411 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 786411-01 (NY)

Record details

NPI number1861380115
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 25, 2025
Last updated in NPPESJanuary 11, 2026
Certification dateJanuary 11, 2026
Mailing address2 Greenwich Rd, Smithtown, NY 11787-2405

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice North Shore - Lij Anesthesiology, Pc — 1004 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Smithtown