Basic Information
| Provider Information | |||||||||
| NPI: | 1871546168 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DEMPSEY | ||||||||
| FirstName: | ALBERT | ||||||||
| MiddleName: | FREDERICK | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | CRNA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 109 GIAMMARINO AVE | ||||||||
| Address2: | |||||||||
| City: | GIBBSTOWN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080271311 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8564235016 | ||||||||
| FaxNumber: | 8564235016 | ||||||||
| Practice Location | |||||||||
| Address1: | 1500 LANSDOWNE AVE | ||||||||
| Address2: | |||||||||
| City: | DARBY | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190231200 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6102374000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/18/2006 | ||||||||
| LastUpdateDate: | 10/23/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367500000X | RN152201L | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
ID Information
| ID | Type | State | Issuer | Description | 17136 | 01 | AANA | OTHER | 102491223 | 05 | PA | MEDICAID | P01186705 | 01 | PA | RAILROAD MEDICARE | OTHER |