Active NPI
Crowley Nurse Practitioner in Family Health, PLLC
- Family Nurse Practitioner
- Saratoga Springs, NY
National Provider Identifier
1215501465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- CROWLEY NURSE PRACTITIONER IN FAMILY HEALTH, PLLC
- Practice address
- 2 Franklin SQ Ste F
Saratoga Springs, NY 12866-2262 - Phone
- (518) 646-1971
- Fax
- (949) 543-2822
- NPI assigned
- May 13, 2021
- Last updated
- Aug 5, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Crowley, PA
- Title
- PA
- Phone
- (518) 886-8066
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
2 Franklin SQ Ste F
Saratoga Springs, NY 12866-2262
Mailing address
2 Patricia LN
Saratoga Springs, NY 12866-2812
Phone (518) 646-1971
Other practice location 1
922 Troy Schenectady Rd
Latham, NY 12110-1610
Phone (518) 250-4026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210514000992 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 9032528476 | Practice locations: Saratoga Springs, NY |
National Provider Directory
National Provider DirectoryLocations
85 Washington St
Saratoga Springs, NY 12866
Phone (518) 646-1971
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.
-
- Family Nurse Practitioner
- Saratoga Springs, NY
- NPI 1427507284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691193600000",
"number": "1215501465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 PATRICIA LN",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128662812",
"telephone_number": "518-646-1971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 FRANKLIN SQ STE F",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128662262",
"telephone_number": "518-646-1971",
"fax_number": "949-543-2822"
}
],
"practiceLocations": [
{
"address_1": "922 Troy Schenectady Rd",
"address_purpose": "LOCATION",
"city": "Latham",
"state": "NY",
"postal_code": "121101610",
"country_code": "US",
"telephone_number": "518-250-4026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CROWLEY NURSE PRACTITIONER IN FAMILY HEALTH, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-13",
"last_updated": "2023-08-05",
"certification_date": "2023-01-23",
"status": "A",
"authorized_official_last_name": "CROWLEY",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "PA",
"authorized_official_telephone_number": "518-886-8066",
"authorized_official_credential": "PA"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saratoga Springs, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2023; 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.