Active NPI
Richard Anthony Crookson, FNP
- Community Health Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1033448840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Nurse Practitioner
- License
- F320069
- Practice address
- 1167 Nostrand Ave
Brooklyn, NY 11225 - Phone
- (718) 778-0198
- Fax
- (718) 221-8169
- NPI assigned
- Dec 8, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Nurse Practitioner | 363LC1500X | 320069F | NY | |
| Community Health Nurse Practitioner | 363LC1500X | F320069 | NY | Primary |
Addresses
Primary practice location
1167 Nostrand Ave
Brooklyn, NY 11225
Mailing address
60 Madison Ave FL 5
New York, NY 10010-1600
Phone (212) 545-2400
Other practice location 1
3215 Avenue H Ste 1P
Brooklyn, NY 11210-3217
Phone (718) 717-2278
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 320069F | NY | MD | Community Health Nurse Practitioner |
| F320069 | NY | MD | Community Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551744000000",
"number": "1033448840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 MADISON AVE FL 5",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100101600",
"telephone_number": "212-545-2400",
"fax_number": "646-312-0481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1167 NOSTRAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11225",
"telephone_number": "718-778-0198",
"fax_number": "718-221-8169"
}
],
"practiceLocations": [
{
"address_1": "3215 Avenue H Ste 1P",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112103217",
"country_code": "US",
"telephone_number": "718-717-2278",
"fax_number": "718-717-8772",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CROOKSON",
"first_name": "RICHARD",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-08",
"last_updated": "2019-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LC1500X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Community Health",
"state": "NY",
"license": "320069F",
"primary": false
},
{
"code": "363LC1500X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Community Health",
"state": "NY",
"license": "F320069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.