Organization Active NPI

Crowley Nurse Practitioner in Family Health, PLLC

  • Family Nurse Practitioner
  • Saratoga Springs, NY
National Provider Identifier
1215501465
Registry record updated Aug 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on Aug 5, 2023

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20210514000992 NY Part B Supplier - Mass Immunization (Roster Biller Only) 9032528476 Practice locations: Saratoga Springs, NY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.