Individual provider Active NPI

Michelle Patrice McCrone

  • Clinical Genetics (M.D.) Physician
  • Philadelphia, PA
National Provider Identifier
1356702278
Registry record updated Jul 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
MT227973 Issued in PA
Practice address
3401 Civic Center Blvd
Division of Pediatric - Medical Genetics and Genomics
Philadelphia, PA 19104-4319
Phone
(267) 590-0603
NPI assigned
Mar 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) Physician 207SG0201X MT227973 PA Primary
Pediatrics Physician 208000000X 297802 NY
Pediatrics Physician 208000000X 125.068373 IL

Addresses

Primary practice location

3401 Civic Center Blvd
Division of Pediatric - Medical Genetics and Genomics
Philadelphia, PA 19104-4319

Mailing address

103 Olive St
Philadelphia, PA 19123-3105
Phone (410) 725-4793

Other practice location 1

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-5798

Other practice location 2

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-5798

Other practice location 3

817 Hollins St
Baltimore, MD 21201-1003
Phone (410) 725-4793

Other identifiers 1

IdentifierTypeStateIssuer
297802OtherNYPHYSICIAN LICENSE

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

State licenses

LicenseStateTypeSpecialty
MT227973PAMDClinical Genetics (M.D.) Physician
297802NYMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: mmccrone182597@direct.urmc.rochester.edu

NPI Registry JSON

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

{
    "created_epoch": "1458432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688256000000",
    "number": "1356702278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 OLIVE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233105",
            "telephone_number": "410-725-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 CIVIC CENTER BLVD",
            "address_2": "DIVISION OF PEDIATRIC - MEDICAL GENETICS AND GENOMICS",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044319",
            "telephone_number": "267-590-0603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Elmwood Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "14642",
            "country_code": "US",
            "telephone_number": "585-275-5798",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Elmwood Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "14642",
            "country_code": "US",
            "telephone_number": "585-275-5798",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "817 Hollins St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011003",
            "country_code": "US",
            "telephone_number": "410-725-4793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCRONE",
        "first_name": "MICHELLE",
        "middle_name": "PATRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-20",
        "last_updated": "2023-07-02",
        "certification_date": "2023-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "PA",
            "license": "MT227973",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "297802",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125.068373",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "297802",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.