Organization Active NPI

New York CRH Surgeon & Associates, PC

  • Surgery Physician
  • Bay Shore, NY
National Provider Identifier
1437335726
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
NEW YORK CRH SURGEON & ASSOCIATES, PC
Practice address
10 Brentwood Rd
Bay Shore, NY 11706-8011
Phone
(425) 284-7890
Fax
(425) 284-7896
NPI assigned
Jan 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Authorized official

Name
Dr. Mitchel Guttenplan, MD
Title
Owner
Phone
(425) 284-7890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

10 Brentwood Rd
Bay Shore, NY 11706-8011

Mailing address

4040 Lake Washington Blvd NE
Suite 100
Kirkland, WA 98033-7874
Phone (425) 284-7890

National Provider Directory

National Provider Directory

Locations

10 Brentwood Rd
Bay Shore, NY 11706
Phone (631) 665-8200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1437335726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 LAKE WASHINGTON BLVD NE",
            "address_2": "SUITE 100",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337874",
            "telephone_number": "425-284-7890",
            "fax_number": "425-284-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BRENTWOOD RD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068011",
            "telephone_number": "425-284-7890",
            "fax_number": "425-284-7896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK CRH SURGEON & ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "GUTTENPLAN",
        "authorized_official_first_name": "MITCHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-284-7890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.