Active NPI
Andrya Mittsu Crossman, MD
- Addiction Psychiatry Physician
- New York, NY
National Provider Identifier
1376680306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Psychiatry Physician
- License
- 230676
- Practice address
- 59 E 54TH St RM 83
New York, NY 10022-9206 - Phone
- (646) 808-7536
- Fax
- (877) 512-4792
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Psychiatry Physician | 2084P0802X | 230676 | NY | Primary |
Addresses
Primary practice location
59 E 54TH St RM 83
New York, NY 10022-9206
Mailing address
122 E 42ND St
17TH Floor
New York, NY 10168-0002
Phone (646) 808-7536
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
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1376680306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 E 42ND ST",
"address_2": "17TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101680002",
"telephone_number": "646-808-7536",
"fax_number": "877-512-4792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 E 54TH ST RM 83",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100229206",
"telephone_number": "646-808-7536",
"fax_number": "877-512-4792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSSMAN",
"first_name": "ANDRYA",
"middle_name": "MITTSU",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "NY",
"license": "230676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.