Nicholas Garguilo
NPI 1861380115ActiveIndividual· Nurse Anesthetist, Certified Registered· Smithtown, NY
Nurse Anesthetist, Certified Registered with North Shore - Lij Anesthesiology, PC and 1 other group, practicing in Smithtown, New York. Enrolled in Medicare as practitioner - certified registered nurse anesthetist (crna). Lists Ns/Lij Hs Southside Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1861380115 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jun 25, 2025 |
| Last updated in NPPES | Jan 11, 2026 |
| Certified by provider | Jan 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 786411 | NY |
| Registered Nurse | 163W00000X | 786411-01 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (NY) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- North Shore - Lij Anesthesiology, PCUniondale, NY · 1,003 clinicians
- Suffolk Anesthesiology Associates PCSmithtown, NY · 72 clinicians
Hospital affiliations
- Ns/Lij Hs Southside HospitalBay Shore, NY
- St Charles HospitalPort Jefferson, NY
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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