Individual provider Active NPI

Allison Criscuolo, FNP

  • Family Nurse Practitioner
  • Lynbrook, NY
National Provider Identifier
1265053748
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0917137 Issued in NY
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

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
0917137NYMDFamily Nurse Practitioner

Practice roles (6 of 10)

OrganizationSpecialtyStatusNew patients
Prine Health Medical Group, PLLC CurrentSince Jul 15, 2022 Accepting new patients
Comprehensive Medical Services New York 2008, PLLC CurrentSince May 26, 2020 Accepting new patients
Prine Health Medical Group, PLLC CurrentSince Jul 15, 2022 Accepting new patients
Brookview Medical Associates, PLLC CurrentSince Sep 9, 2021 Accepting new patients
Island Renal Physicians PC Past Accepting new patients
Comprehensive Group Services 2000 LLC PastSince May 10, 2020 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.