Active NPI
Allison Criscuolo, FNP
- Family Nurse Practitioner
- Lynbrook, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0917137
- Practice address
- 444 Merrick Rd Ste 100
Lynbrook, NY 11563-2400 - Phone
- (516) 872-2152
- NPI assigned
- May 6, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0917137 | NY | Primary |
Addresses
Primary practice location
444 Merrick Rd Ste 100
Lynbrook, NY 11563-2400
Mailing address
2200 Northern Blvd
Greenvale, NY 11548-1219
Phone (516) 696-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200929003057 | NY | Practitioner - Nurse Practitioner | 2062831738 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0917137 | NY | MD | Family Nurse Practitioner |
Practice roles (6 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prine Health Medical Group, PLLC | Current | Accepting new patients | |
| Comprehensive Medical Services New York 2008, PLLC | Current | Accepting new patients | |
| Prine Health Medical Group, PLLC | Current | Accepting new patients | |
| Brookview Medical Associates, PLLC | Current | Accepting new patients | |
| Island Renal Physicians PC | Past | Accepting new patients | |
| Comprehensive Group Services 2000 LLC | Past | Accepting new patients |
Locations
914 Hartford Tpke
Ste 103
Waterford, CT 06385
Phone (860) 319-5620
250 Pettit Ave
Ste 101
Bellmore, NY 11710
80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610
370 Old Country Rd
Ste 100
Garden City, NY 11530
Phone (516) 222-1000
2200 Northern Blvd
Greenvale, NY 11548
Phone (516) 482-0080
444 Merrick Rd
Ste 100
Lynbrook, NY 11563
Phone (516) 872-2150
1129 Northern Blvd
Ste 101
Manhasset, NY 11030
Phone (516) 365-5570
364 Merrick Rd
Rockville Centre, NY 11570
Phone (516) 536-3366
24050 Commerce Park
Ste 100
Beachwood, OH 44122
Phone (216) 593-0915
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- https://api.platform.athenahealth.com/1458/brand/1/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Lynbrook, NY
- NPI 1134454960
NY
-
- Podiatrist
- Hicksville, NY
- NPI 1538868336
-
- Internal Medicine Physician
- Lynbrook, NY
- NPI 1215257266
-
- Nephrology Physician
- Rockville Centre, NY
- NPI 1982684874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618185600000",
"number": "1265053748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 NORTHERN BLVD",
"city": "GREENVALE",
"state": "NY",
"postal_code": "115481219",
"telephone_number": "516-696-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 MERRICK RD STE 100",
"city": "LYNBROOK",
"state": "NY",
"postal_code": "115632400",
"telephone_number": "516-872-2152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISCUOLO",
"first_name": "ALLISON",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-06",
"last_updated": "2021-04-12",
"certification_date": "2021-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "0917137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynbrook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.