Individual provider Active NPI

Ashley Crumby, M.D.

  • Child & Adolescent Psychiatry Physician
  • Old Tappan, NJ
National Provider Identifier
1285887000
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
25MA10109000 Issued in NJ
Practice address
239 Old Tappan Rd Ste 2
Old Tappan, NJ 07675-7006
Phone
(201) 477-8029
NPI assigned
Oct 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2020-03859 NC
Child & Adolescent Psychiatry Physician 2084P0804X 269875 NY
Child & Adolescent Psychiatry Physician 2084P0804X 2020-03859 NC
Child & Adolescent Psychiatry Physician 2084P0804X 25MA10109000 NJ Primary

Addresses

Primary practice location

239 Old Tappan Rd Ste 2
Old Tappan, NJ 07675-7006

Mailing address

751 Palisade Avenue
PO Box 192
Teaneck, NJ 07666

Other practice location 1

356 Horseneck Rd
Fairfield, NJ 07004-1610
Phone (973) 575-2794

Other practice location 2

87 Route 17 North
1-118
Maywood, NJ 07607
Phone (551) 996-4450

Other practice location 3

769 N Wendover Rd
Charlotte, NC 28211-1118
Phone (704) 376-7180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171020000630 NJ Practitioner - Psychiatry 0941471361 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020-03859NCMDFamily Medicine Physician
25MA10109000NJMDChild & Adolescent Psychiatry Physician
269875NYMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Sep 1, 2017 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Sep 1, 2017 Accepting new patients
Medpsych Associates of New Jersey LLC PastSince Dec 1, 2019 Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

87 State Rt 17 N
#1118
Maywood, NJ 07607
Phone (551) 996-4450

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 3

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": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1285887000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 PALISADE AVENUE",
            "address_2": "PO BOX 192",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "07666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 OLD TAPPAN RD STE 2",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757006",
            "telephone_number": "201-477-8029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "356 Horseneck Rd",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "NJ",
            "postal_code": "070041610",
            "country_code": "US",
            "telephone_number": "973-575-2794",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "87 Route 17 North",
            "address_2": "1-118",
            "address_purpose": "LOCATION",
            "city": "Maywood",
            "state": "NJ",
            "postal_code": "07607",
            "country_code": "US",
            "telephone_number": "551-996-4450",
            "fax_number": "551-996-5729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "769 N Wendover Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282111118",
            "country_code": "US",
            "telephone_number": "704-376-7180",
            "fax_number": "704-536-0375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUMBY",
        "first_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-23",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2020-03859",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "269875",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NC",
            "license": "2020-03859",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "25MA10109000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Tappan, NJ

Sources for this page

Verify at the official NPI Registry.