Five Crest Medical Diagnostic P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

FIVE CREST MEDICAL DIAGNOSTIC P.C.

Practice address

124 Bay Ridge Ave
Brooklyn, NY 11220-5109

Phone

(718) 836-2199

NPI assigned

Oct 26, 2016

Organization subpart

No

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

Authorized official

Name

Sonia Walker, M.D

Title

Medical Director

Phone

(718) 599-1007

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Thomas Rigney, MD

  • Diagnostic Radiology Physician
  • Chappaqua, NY
  • NPI 1255449229
  Medicare reassignment Care Compare group NPD
• Donald Cedric Wallerson, MD

  • Cardiovascular Disease Physician
  • Bronx, NY
  • NPI 1407885387
  Medicare reassignment Care Compare group
• Louis Edward Guida Jr., MD

  • Specialist
  • West Bay Shore, NY
  • NPI 1386697530
  Medicare reassignment NPD
• Sonia Evadne Walker-Adamson, D.O.

  • Family Medicine Physician
  • St. Albans, NY
  • NPI 1184789778
  NPD (past)

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499299200000",
    "number": "1104378058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7114",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118027114",
            "telephone_number": "718-599-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 BAY RIDGE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205109",
            "telephone_number": "718-836-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE CREST MEDICAL DIAGNOSTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2017-07-06",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-599-1007",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Five Star Home Health Care Agency
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• Five Star Home Health Care Agency, Inc.
• Five Star Pharmacy Inc

• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.