Organization Active NPI

Crescent Medical Consultants LLC

  • Internal Medicine Physician
  • Buffalo, NY
National Provider Identifier
1184203804
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CRESCENT MEDICAL CONSULTANTS LLC
Practice address
1263 Delaware Ave
Buffalo, NY 14209-2402
Phone
(716) 886-8200
NPI assigned
Apr 8, 2021
Last updated
Aug 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Authorized official

Name
Betsy Rowe
Title
Biller
Phone
(716) 649-0887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1263 Delaware Ave
Buffalo, NY 14209-2402

Mailing address

136 Sobieski St
Buffalo, NY 14212-1506

Other identifiers 1

IdentifierTypeStateIssuer
01614204MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1184203804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 SOBIESKI ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142121506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1263 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092402",
            "telephone_number": "716-886-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT MEDICAL CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-08",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "ROWE",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "716-649-0887"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01614204",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.