Active NPI
Michelle Patrice McCrone
- Clinical Genetics (M.D.) Physician
- Philadelphia, PA
National Provider Identifier
1356702278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Genetics (M.D.) Physician
- License
- MT227973
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 297802 | Other | NY | PHYSICIAN 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
| License | State | Type | Specialty |
|---|---|---|---|
| MT227973 | PA | MD | Clinical Genetics (M.D.) Physician |
| 297802 | NY | MD | Pediatrics Physician |
Interoperability endpoints
- 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.