Active NPI
Evans Crevecoeur, MD
- Anesthesiology Physician
- Jamaica, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 177953
- Practice address
- 8900 Van Wyck Expy
Jamaica Anesthesia Associates PC
Jamaica, NY 11418-2897 - Phone
- (718) 206-6088
- Fax
- (718) 206-8087
- NPI assigned
- Jun 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 177953 | NY | Primary |
Addresses
Primary practice location
8900 Van Wyck Expy
Jamaica Anesthesia Associates PC
Jamaica, NY 11418-2897
Mailing address
PO Box 30037
Elmont, NY 11003-0037
Phone (718) 433-0044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01424253 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- State University of New York Downstate Medical Center, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1975 Linden Blvd
Suite 107
Elmont, NY 11003-4004
Phone (718) 433-0044
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 198461 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jamaica Anesthesiologist, PC | Anesthesiology | Current | Accepting new patients |
| Brooklyn Anesthesia Group, PC | Anesthesiology | Current | Accepting new patients |
| Choices Women'S Medical Center, Inc. | Current | Accepting new patients | |
| Comprehensive Medical Care, PC | Current | Accepting new patients | |
| Trenton Chiropractic Clinic LTD | Past | Accepting new patients | |
| Omnicare Anesthesia | Past | Accepting new patients |
Locations
55 Greene Ave
#L
Brooklyn, NY 11238
Phone (718) 369-3080
1975 Linden Blvd
Ste 107
Elmont, NY 11003
Phone (718) 354-6810
19616 Hillside Ave
Hollis, NY 11423
Phone (718) 217-6806
14732 Jamaica Ave
Jamaica, NY 11435
Phone (718) 206-2002
1841 Broadway
Rm 1011
New York, NY 10023
Phone (212) 333-5000
8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088
222 Mamaroneck Ave
White Plains, NY 10605
Phone (914) 401-4282
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CFCHAA/Endpoint/CFCHAA
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Brooklyn, NY
- NPI 1851523799
-
- Ambulatory Surgical Clinic/Center
- Jamaica, NY
- NPI 1194832949
-
- Specialist
- Jamaica, NY
- NPI 1609897834
-
- Anesthesiology Physician
- Jamaica, NY
- NPI 1508812892
-
- Specialist
- Brooklyn, NY
- NPI 1225229743
-
- Chiropractor
- Trenton, IL
- NPI 1093867814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1053351973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30037",
"city": "ELMONT",
"state": "NY",
"postal_code": "110030037",
"telephone_number": "718-433-0044",
"fax_number": "646-680-0576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8900 VAN WYCK EXPY",
"address_2": "JAMAICA ANESTHESIA ASSOCIATES PC",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114182897",
"telephone_number": "718-206-6088",
"fax_number": "718-206-8087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREVECOEUR",
"first_name": "EVANS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2022-09-28",
"certification_date": "2022-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "177953",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01424253",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.