Crescent Medical Group PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CRESCENT MEDICAL GROUP PC

Practice address

141 Chestnut St Ste 202
Roselle Park, NJ 07204-2282

Phone

(908) 280-9600

Fax

(908) 248-9390

NPI assigned

Jun 5, 2023

Organization subpart

No

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

Authorized official

Name

Mr. HR Manager

Title

Manager

Phone

(973) 777-0000

Specialties & licenses 2

Addresses

Practitioners 1

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

• Sekuleo Gathers, MD

  • Family Medicine Physician
  • New York, NY
  • NPI 1598842098
  NPD (past)

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1487348306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 CHESTNUT ST STE 202",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072042282",
            "telephone_number": "908-280-9600",
            "fax_number": "908-248-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 CHESTNUT ST STE 202",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072042282",
            "telephone_number": "908-280-9600",
            "fax_number": "908-248-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "MANAGER",
        "authorized_official_first_name": "HR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-777-0000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicola W Cicchetti, D.M.D.
• Mark P. Cohen, DDS
• Compassionate Healthcare Service LLC
• Louis J Conte, DO
• Pedro Evelio Cordero, M.D.
• Crescent Medical Group PC
• Monica Cristofaro, OTR
• Jaroslaw Czajkowski, DPT
• Daruma Dreams
• Silvia P Debrito, MSW, LSW

• Primary Care Clinic/Center in Roselle Park, NJ
• Providers in Roselle Park, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.