Active NPI
James B Crucetti, MD, MPH
- Specialist
- Albany, NY
National Provider Identifier
1235382995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 178377
- Practice address
- 175 Green St
Albany, NY 12202-2011 - Phone
- (518) 447-4695
- Fax
- (518) 447-4698
- NPI assigned
- Oct 28, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 178377 | NY | Primary |
Addresses
Primary practice location
175 Green St
Albany, NY 12202-2011
Mailing address
175 Green St
Albany, NY 12202-2011
Phone (518) 447-4695
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00473616 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178377 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany County | 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.
-
- Land Ambulance
- Clarksville, NY
- NPI 1356570592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343088000000",
"number": "1235382995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 GREEN ST",
"city": "ALBANY",
"state": "NY",
"postal_code": "122022011",
"telephone_number": "518-447-4695",
"fax_number": "518-447-4698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 GREEN ST",
"city": "ALBANY",
"state": "NY",
"postal_code": "122022011",
"telephone_number": "518-447-4695",
"fax_number": "518-447-4698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUCETTI",
"first_name": "JAMES",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-28",
"last_updated": "2012-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "178377",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00473616",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.