Crystal Royal Care

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

CRYSTAL ROYAL CARE

Practice address

128 North Dr
Staten Island, NY 10305-5108

Phone

(717) 813-7999

NPI assigned

Sep 23, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Lusty BineyNPI 1205898293

Title

Manager

Phone

(717) 813-7999

Specialties & licenses 1

Addresses

Practitioners 1

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

• Lusty Jean Biney, PA-C

  • Medical Physician Assistant
  • Lebanon, PA
  • NPI 1205898293
  NPD Authorized official

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1477370468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 NORTH DR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103055108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 NORTH DR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103055108",
            "telephone_number": "717-813-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL ROYAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "BINEY",
        "authorized_official_first_name": "LUSTY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "717-813-7999",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Cecilia Cruz, PT
• Marlene Clara Cruz
• Rachia M Cruz
• Samantha Cruz, SLP
• Wendy Delores Cruz
• Kristen Csaby
• Kim Csillag, LMSW
• Regina Cucci, PH.D
• Diane M Cuervo, LPN
• Jayde Cuesta

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.