Active NPI
Sam Crowning, PA-C
- Medical Physician Assistant
- Livingston, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 94 Old Short Hills Rd
Livingston, NJ 07039-5672 - Phone
- (973) 322-5000
- NPI assigned
- Sep 14, 2016
- Last updated
- Sep 24, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 7
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dimer Health Services Inc | Current | Accepting new patients | |
| Cityblock Ipa Ny, LLC | Current | Accepting new patients | |
| Oluwatoyin Ajayi Medical Practice, PC | Current | Accepting new patients | |
| Cityblock Medical Practice NC, P.C. | Past | 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
- 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.
-
dba Cityblock Medical Practice
- Family Medicine Physician
- Brooklyn, NY
- NPI 1912491770
-
- Emergency Medicine Physician
- Freehold, NJ
- NPI 1538106257
-
- Emergency Medicine Physician
- Mendham, NJ
- NPI 1285338483
-
- Emergency Medicine Physician
- Summit, NJ
- NPI 1497783419
-
- Emergency Medicine Physician
- Somerset, NJ
- NPI 1912510041
-
- Emergency Medicine Physician
- Livingston, NJ
- NPI 1760095806
-
- Primary Care Clinic/Center
- Columbus, OH
- NPI 1013673821
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1588296784
IL, MI, NC
-
- Emergency Medicine Physician
- Mendham, NJ
- NPI 1306540620
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1407719339
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1760049308
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.