Individual provider Active NPI

Crystal Appiah, PA-S

  • Physician Assistant
  • Staten Island, NY
National Provider Identifier
1366329732
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
035077 Issued in NY
Practice address
129 Waldron Ave
Staten Island, NY 10301-3618
Phone
(917) 515-3155
NPI assigned
Aug 18, 2025
Last updated
Mar 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 035077 NY Primary

Addresses

Primary practice location

129 Waldron Ave
Staten Island, NY 10301-3618

Mailing address

129 Waldron Ave
Staten Island, NY 10301-3618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260210004276 NY Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 3173002052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
035077NYMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1366329732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 WALDRON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 WALDRON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013618",
            "telephone_number": "917-515-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPIAH",
        "first_name": "CRYSTAL",
        "credential": "PA-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-18",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "035077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.