Joan Teresa Crotty-O'Gorman, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F331227 Issued in NY

Practice address

12 Tamarack Dr
Hopewell JCT, NY 12533-6428

Phone

(845) 896-9331

Fax

(845) 896-9331

NPI assigned

Jun 18, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497744000000",
    "number": "1104356641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 TAMARACK DR",
            "city": "HOPEWELL JCT",
            "state": "NY",
            "postal_code": "125336428",
            "telephone_number": "845-896-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 TAMARACK DR",
            "city": "HOPEWELL JCT",
            "state": "NY",
            "postal_code": "125336428",
            "telephone_number": "845-896-9331",
            "fax_number": "845-896-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROTTY-O'GORMAN",
        "first_name": "JOAN",
        "middle_name": "TERESA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2017-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F331227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Coley
• Susan Colodner
• Elaine Cottle
• Vanessa Coxen, MOT OTR/L
• Cresswell Audiology PC
• Michelle D'Aleo, LCSW
• Kathleen Danehey
• Jessica Marie Decicco, OTR/L
• Victoria Rose Dixon, OTR/L
• Dutchess Family Health NP PLLC

• All providers in Hopewell JCT, NY
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.