Mayra Crespo, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00478800 Issued in NJ

Practice address

1680 Rte 23
Wayne, NJ 07470-7501

Phone

(973) 305-1400

NPI assigned

Jan 6, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mayra Chicaiza Former name

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Optum Medical Care of New Jersey PC

  • Pediatrics Physician
  • New Hyde Park, NY
  • NPI 1578665048

  NJ

  Medicare reassignment NPD
• Jeffrey B. Wise, M.D., L.L.C.

  • Medical Specialty Clinic/Center
  • Wayne, NJ
  • NPI 1124216718
  NPD
• Optum Medical Care of New Jersey PC

  • Durable Medical Equipment & Medical Supplies
  • Belleville, NJ
  • NPI 1255050902
  NPD
• Advanced Laparoscopic Associates

  • Specialist
  • Paramus, NJ
  • NPI 1841353737
  NPD (past)
• Select Anesthesia and Pain Management Group, PA

  • Anesthesiology Physician
  • Pompton Plains, NJ
  • NPI 1528043692
  NPD (past)

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1376965616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 ROUTE 23 STE 120",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707520",
            "telephone_number": "973-305-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 RTE 23",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707501",
            "telephone_number": "973-305-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESPO",
        "first_name": "MAYRA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-06",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00478800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAYRA",
            "last_name": "CHICAIZA",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Garrick A Cox, MD
• CPL Oak Ridge LLC
• CPL Oak Ridge LLC
• Shawn M Crabtree, M.D.
• Creative Counseling Solutions
• Nicholas Desai Crider
• Criticare Medical Products, LLC
• Kerry A Cron, MS CCC SLP
• Linda H Cronk, PT
• Tina Marie Crotty

• Family Nurse Practitioner in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.