Individual provider Active NPI

James B Crucetti, MD, MPH

  • Specialist
  • Albany, NY
National Provider Identifier
1235382995
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
178377 Issued in NY
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

Updated by the provider on Jul 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00473616MedicaidNY

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
178377NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Albany County PastSince Oct 28, 2008 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": "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

Verify at the official NPI Registry.