Individual provider Active NPI

Crystal Ann Persky, ACNP-BC

  • Acute Care Nurse Practitioner
  • New York, NY
National Provider Identifier
1326448333
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
F430832-1 Issued in NY
Practice address
560 1St Ave
New York, NY 10016-6402
Phone
(203) 508-5876
NPI assigned
Aug 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X F430832-1 NY Primary

Addresses

Primary practice location

560 1St Ave
New York, NY 10016-6402

Mailing address

7 Old Farm Cir
White Plains, NY 10605-5404
Phone (203) 508-5876

Other names 1

  • Crystal Ann Crane Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150921001168 NY Practitioner - Nurse Practitioner 0840507091 Reassigns benefits to 2 organizations
I20161114001274 PA Practitioner - Nurse Practitioner 0840507091 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F430832-1NYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nyc Medical Infusion PC CurrentSince Aug 1, 2021 Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 20, 2016 Accepting new patients
Civic Medicine, PLLC CurrentSince Sep 10, 2023 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Nov 3, 2014 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 20, 2016 Accepting new patients
Civic Wilton, PLLC PastSince Sep 10, 2023 Accepting new patients

Locations

249 Danbury Rd
Wilton, CT 06897
Phone (203) 762-3353

1365 Washington Ave
Ste 102A
Albany, NY 12206
Phone (518) 453-9220

1644 Eastchester Rd
Bronx, NY 10461
Phone (917) 445-9119

1646 Eastchester Rd
Bronx, NY 10461
Phone (212) 249-8202

26 Court St
Ste 1210
Brooklyn, NY 11242
Phone (347) 353-3502

279 Main St
Ste 103
New Paltz, NY 12561
Phone (845) 255-9700

1140 Broadway
New York, NY 10001
Phone (516) 941-6824

630 W 168th St
#4
New York, NY 10032
Phone (212) 305-6387

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

175 E 96th St
New York, NY 10128
Phone (212) 426-1970

5225 Nesconset Hwy
Ste 36
Port Jefferson Station, NY 11776
Phone (631) 928-4870

78 Todt Hill Rd
Ste 110
Staten Island, NY 10314
Phone (718) 227-5505

175 Jericho Tpke
Ste 312
Syosset, NY 11791
Phone (212) 246-3873

400 Columbus Ave
Ste 105S
Valhalla, NY 10595
Phone (203) 883-0038

400 Columbus Ave
Valhalla, NY 10595
Phone (203) 883-0038

2 Westchester Park Dr
Ste 101A
White Plains, NY 10604

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 7

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": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1326448333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 OLD FARM CIR",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055404",
            "telephone_number": "203-508-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "203-508-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSKY",
        "first_name": "CRYSTAL",
        "middle_name": "ANN",
        "credential": "ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2022-07-21",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "F430832-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "CRANE",
            "middle_name": "ANN",
            "credential": "ACNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.