Crosby Street Internal Medicine, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CROSBY STREET INTERNAL MEDICINE, LLC

Practice address

594 Broadway
Suite 310
New York, NY 10012-3233

Phone

(718) 920-9074

NPI assigned

Jan 26, 2011

Organization subpart

No

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

Authorized official

Name

Joanne Rivera

Title

Billing Manager

Phone

(718) 920-9074

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1316242126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "594 BROADWAY",
            "address_2": "SUITE 310",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100123233",
            "telephone_number": "212-219-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "594 BROADWAY",
            "address_2": "SUITE 310",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100123233",
            "telephone_number": "718-920-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSBY STREET INTERNAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "718-920-9074"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travall Croom, L.A.C
• Rita Caroline Crooms, MD
• Cori Croot, LMSW
• Catrina Marie Cropano, MD
• Patrick Crorkin
• David A Crosby, MB BCH BAO MD
• Glenna Crosby, RN
• John B Crosby III, PH.D.
• Tyler Crosby, M.D.
• Tynesha Crosby

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.