John Crispino

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N003913 Issued in NY

Practice address

4665 Amboy Rd
Staten Island, NY 10312-4152

Phone

(718) 356-9826

Fax

(718) 966-1594

NPI assigned

Nov 28, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• John Crispino Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Darwish Wellness Medical Office PC

  • Family Medicine Physician
  • Staten Island, NY
  • NPI 1427811306
  NPD (past)

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302825600000",
    "number": "1265415947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 BAYVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093636",
            "telephone_number": "718-966-6175",
            "fax_number": "718-966-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4665 AMBOY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103124152",
            "telephone_number": "718-356-9826",
            "fax_number": "718-966-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISPINO",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2011-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "480033373",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0008386",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "CRISPINO",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Judith Crisci
• Matthew John Criscuolo, DPT
• Julia Marie Crispi, PA
• Victoria Crispi, PA
• Danielle Crispino
• Julia Rosaria Cristiano
• Cristina Buricea DPM PLLC
• Cristina Moccia
• Rose Crivera, SOCIAL WORKER LCSW
• Alena Crociata, CRNA, DNP

• Podiatrist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; 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.