Individual provider Active NPI

William NMN Cristo Jr., MD

  • Diagnostic Radiology Physician
  • New Bedford, MA
National Provider Identifier
1285764340
Registry record updated Aug 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
53138 Issued in MA
Practice address
92 Grape St Ste 2a
New Bedford, MA 02740-2104
Phone
(508) 984-5200
Fax
(508) 659-5214
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 53138 MA Primary

Addresses

Primary practice location

92 Grape St Ste 2a
New Bedford, MA 02740-2104

Mailing address

92 Grape St Ste 2a
New Bedford, MA 02740-2104
Phone (508) 984-5200

Other identifiers 2

IdentifierTypeStateIssuer
NOTDISCLOSEDOtherHARVARD PILGRAM HEALTH INS.
110064846AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
American Diagnostic Lab Inc CurrentSince Aug 13, 2023 Accepting new patients
Saint Vincent Radiological Associates Inc Diagnostic Radiology PastSince Feb 4, 2024 Accepting new patients
Northern Radiology Associates Diagnostic Radiology Past Accepting new patients
Feel Well Rehab Clinic Inc. PastSince Aug 13, 2023 Accepting new patients

Locations

92 Grape St
Ste 2A
New Bedford, MA 02740
Phone (508) 984-5200

Organizations & group practices 4

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": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691280000000",
    "number": "1285764340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 GRAPE ST STE 2A",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027402104",
            "telephone_number": "508-984-5200",
            "fax_number": "508-659-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 GRAPE ST STE 2A",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027402104",
            "telephone_number": "508-984-5200",
            "fax_number": "508-659-5214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISTO",
        "first_name": "WILLIAM",
        "middle_name": "NMN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2023-08-06",
        "certification_date": "2023-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "53138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRAM HEALTH INS.",
            "identifier": "NOTDISCLOSED",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110064846A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2023; 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.