Individual provider Active NPI

Sam Crowning, PA-C

  • Medical Physician Assistant
  • Livingston, NJ
National Provider Identifier
1285182766
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone
(973) 322-5000
NPI assigned
Sep 14, 2016
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

94 Old Short Hills Rd
Livingston, NJ 07039-5672

Mailing address

1408 Northstream Pkwy
Point Pleasant Boro, NJ 08742-3461
Phone (732) 575-2479

Other practice location 1

100 Grove St Ste 115
Worcester, MA 01605-2630
Phone (833) 904-2273

Other practice location 2

26026 W 12 Mile Rd Ste 202
Southfield, MI 48034-1783
Phone (833) 904-2273

Other practice location 3

16115 LaSalle Street
South Holland, IL 60473
Phone (833) 904-2273

Other practice location 4

2301 N Meridian St
Indianapolis, IN 46208-5729
Phone (833) 904-2273

Other practice location 5

1259 Bedford Ave
Brooklyn, NY 11216-1813
Phone (833) 904-2273

Other practice location 6

495 Flatbush Ave Ste C5
Brooklyn, NY 11225-3782
Phone (833) 904-2273

Other practice location 7

15416 N Florida Ave Ste 203
Tampa, FL 33613-1239
Phone (833) 904-2273

Other practice location 8

4444 The Plz Unit 18
Charlotte, NC 28215-2189
Phone (336) 360-2407

Other practice location 9

500 E Main St Ste 105
Columbus, OH 43215-5619
Phone (833) 904-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, IL, OH, MI, IN, NC, NY7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20161115002467 NJ Practitioner - Physician Assistant 1153600168 Reassigns benefits to 5 organizations
I20241021000399 IL Practitioner - Physician Assistant 1153600168 Reassigns benefits to 1 organization
I20241213000030 OH Practitioner - Physician Assistant 1153600168 Reassigns benefits to 1 organization
I20250326000895 MI Practitioner - Physician Assistant 1153600168 Reassigns benefits to 1 organization
I20250410001345 IN Practitioner - Physician Assistant 1153600168 Reassigns benefits to 1 organization
I20250414000706 NC Practitioner - Physician Assistant 1153600168 Reassigns benefits to 1 organization
I20251209002363 NY Practitioner - Physician Assistant 1153600168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

495 Flatbush Ave
Suite C5
Brooklyn, NY 11225-3706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dimer Health Services Inc CurrentSince Apr 11, 2024 Accepting new patients
Cityblock Ipa Ny, LLC CurrentSince Dec 14, 2025 Accepting new patients
Oluwatoyin Ajayi Medical Practice, PC CurrentSince Dec 1, 2025 Accepting new patients
Cityblock Medical Practice NC, P.C. PastSince Sep 1, 2019 Accepting new patients

Locations

1259 Bedford Ave
Brooklyn, NY 11216
Phone (347) 463-5529

495 Flatbush Ave
Brooklyn, NY 11225
Phone 80033611001

495 Flatbush Ave
Ste C5
Brooklyn, NY 11225
Phone (347) 463-5529

546 Eastern Pkwy
Brooklyn, NY 11225
Phone (718) 604-4800

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: sam.crowning.1@27775.direct.athenahealth.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1285182766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 NORTHSTREAM PKWY",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087423461",
            "telephone_number": "732-575-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 OLD SHORT HILLS RD",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395672",
            "telephone_number": "973-322-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Grove St Ste 115",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016052630",
            "country_code": "US",
            "telephone_number": "833-904-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26026 W 12 Mile Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480341783",
            "country_code": "US",
            "telephone_number": "833-904-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16115 LaSalle Street",
            "address_purpose": "LOCATION",
            "city": "South Holland",
            "state": "IL",
            "postal_code": "60473",
            "country_code": "US",
            "telephone_number": "833-904-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 N Meridian St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462085729",
            "country_code": "US",
            "telephone_number": "833-904-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1259 Bedford Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112161813",
            "country_code": "US",
            "telephone_number": "833-904-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "495 Flatbush Ave Ste C5",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112253782",
            "country_code": "US",
            "telephone_number": "833-904-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15416 N Florida Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336131239",
            "country_code": "US",
            "telephone_number": "833-904-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4444 The Plz Unit 18",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282152189",
            "country_code": "US",
            "telephone_number": "336-360-2407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 E Main St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432155619",
            "country_code": "US",
            "telephone_number": "833-904-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROWNING",
        "first_name": "SAM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-14",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.