Active NPI
Ashley Crumby, M.D.
- Child & Adolescent Psychiatry Physician
- Old Tappan, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 25MA10109000
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020-03859 | NC | MD | Family Medicine Physician |
| 25MA10109000 | NJ | MD | Child & Adolescent Psychiatry Physician |
| 269875 | NY | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Medpsych Associates of New Jersey LLC | Past | 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
- 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.
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Mental Health Counselor
- Ramsey, NJ
- NPI 1649718685
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.