Purificacion Cristobal, DNP, PNP, FNP& PSYC

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

License

402233 Issued in NY

Practice address

3250 Westchester Avenue
Suite LL4
Bronx, NY 10461-4500

Phone

(718) 684-6465

Fax

(718) 684-6467

NPI assigned

Jul 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Purificacion Cristobal Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Kamehameha Health and Wellness Nonprofit Corporation

  • Addiction Psychiatry Physician
  • Bronx, NY
  • NPI 1326432238

  Multi-Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1487852125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 WESTCHESTER AVENUE",
            "address_2": "SUITE LL4",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104614500",
            "telephone_number": "718-684-6465",
            "fax_number": "718-684-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 WESTCHESTER AVENUE",
            "address_2": "SUITE LL4",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104614500",
            "telephone_number": "718-684-6465",
            "fax_number": "718-684-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISTOBAL",
        "first_name": "PURIFICACION",
        "name_prefix": "Dr.",
        "credential": "DNP,  PNP, FNP& PSYC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NY",
            "license": "402233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05459852",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PURIFICACION",
            "last_name": "CRISTOBAL",
            "prefix": "DR.",
            "credential": "DNP,  APRN, PSYCHIAT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Zharia Crisp
• Frank Vito Cristallo III, OD
• Jessica Ray Cristallo
• Christine Cristiani, CNM
• Monica Cristo
• Sherwin Fernando Cristobal
• Joy Crittenden, LMT
• Darolyn O Critton, LPN
• Jeanna Crocamo
• Mary Julie Crocco, CNM

• Addiction Psychiatry Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Addiction Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.