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
- 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.
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.