Active NPI
Crystal Rainann Richards, MD
- Pediatrics Physician
- New York, NY
National Provider Identifier
1174211304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 344938
- Practice address
- 2111 Frederick Douglass Blvd
New York, NY 10026-2301 - Phone
- (646) 666-8248
- NPI assigned
- Apr 26, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 344938 | NY | Primary |
Addresses
Primary practice location
2111 Frederick Douglass Blvd
New York, NY 10026-2301
Mailing address
43-12 43Rd Street
Sunnyside, NY 11104
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
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787961600000",
"number": "1174211304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43-12 43RD STREET",
"city": "SUNNYSIDE",
"state": "NY",
"postal_code": "11104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 FREDERICK DOUGLASS BLVD",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100262301",
"telephone_number": "646-666-8248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "CRYSTAL",
"middle_name": "RAINANN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-26",
"last_updated": "2026-08-29",
"certification_date": "2026-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "344938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.