Active NPI
Kenya Crafton, FNP-BC
- Family Medicine Physician
- Oceanside, NY
National Provider Identifier
1093367294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 344497
- Practice address
- 1 Healthy Way
Oceanside, NY 11572-1551 - Phone
- (516) 632-3000
- NPI assigned
- Jul 9, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 344497 | NY | |
| Family Medicine Physician | 207Q00000X | 344497 | NY | Primary |
Addresses
Primary practice location
1 Healthy Way
Oceanside, NY 11572-1551
Mailing address
162 Colonial Ave
Freeport, NY 11520-1205
Phone (516) 557-6719
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Kenya.crafton@snch.org |
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 344497 | NY | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Sinai School of Medicine | Current | Accepting new patients | |
| The Central Orthopedic Group L L P | Current | Accepting new patients | |
| The Central Orthopedic Group L L P | Current | Accepting new patients | |
| Mount Sinai School of Medicine | Current | Accepting new patients | |
| Mount Sinai School of Medicine | Current | Accepting new patients |
Locations
1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581
651 Old Country Rd
Plainview, NY 11803
Phone (516) 333-7200
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- kenya.crafton@983.chartlogic.direct-ci.com
- kenya.crafton@snch.org
Organizations & group practices 7
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.
-
- Family Nurse Practitioner
- Garden City, NY
- NPI 1265294805
-
- Internal Medicine Physician
- Oceanside, NY
- NPI 1508127531
-
- Specialist
- Plainview, NY
- NPI 1669694394
-
- Pain Medicine Physician
- Bronx, NY
- NPI 1043081524
-
- Surgery Physician
- Oceanside, NY
- NPI 1326515578
-
- Psychiatry Physician
- Hempstead, NY
- NPI 1508333956
-
- Durable Medical Equipment & Medical Supplies
- Massapequa, NY
- NPI 1770117483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562630400000",
"number": "1093367294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 COLONIAL AVE",
"city": "FREEPORT",
"state": "NY",
"postal_code": "115201205",
"telephone_number": "516-557-6719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HEALTHY WAY",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115721551",
"telephone_number": "516-632-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAFTON",
"first_name": "KENYA",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-09",
"last_updated": "2019-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "NY",
"license": "344497",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "344497",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Kenya.crafton@snch.org",
"affiliation": "N",
"address_1": "1 Healthy Way",
"city": "Oceanside",
"state": "NY",
"country_code": "US",
"postal_code": "115721551",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oceanside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.