Individual provider Active NPI

Yasmi O. Crystal, DMD

  • Pediatric Dentistry
  • New York, NY
National Provider Identifier
1215957014
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
051863 Issued in NY
Practice address
345 E 24TH St
New York, NY 10010-4020
Phone
(212) 998-9800
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DI15948 NJ
Pediatric Dentistry 1223P0221X 051863 NY Primary

Addresses

Primary practice location

345 E 24TH St
New York, NY 10010-4020

Mailing address

111 E Union Ave
Bound Brook, NJ 08805-1713
Phone (732) 356-1830

Other practice location 1

111 E Union Ave
Bound Brook, NJ 08805-1713
Phone (732) 356-1830

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

State licenses

LicenseStateTypeSpecialty
DI15948NJMDPediatric Dentist
051863NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Pediatric Dentistry Pediatric Dentistry Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1215957014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E UNION AVE",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088051713",
            "telephone_number": "732-356-1830",
            "fax_number": "732-356-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 E 24TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104020",
            "telephone_number": "212-998-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 E Union Ave",
            "address_purpose": "LOCATION",
            "city": "Bound Brook",
            "state": "NJ",
            "postal_code": "088051713",
            "country_code": "US",
            "telephone_number": "732-356-1830",
            "fax_number": "732-356-0038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRYSTAL",
        "first_name": "YASMI",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "DI15948",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "051863",
            "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 May 12, 2025; 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.