Mary Crockford

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

2 Solitude CT Unit 2
Vernon, NJ 07462-4516

Phone

(845) 467-0225

NPI assigned

Aug 16, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1497301253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SOLITUDE CT UNIT 2",
            "city": "VERNON",
            "state": "NJ",
            "postal_code": "074624516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SOLITUDE CT UNIT 2",
            "city": "VERNON",
            "state": "NJ",
            "postal_code": "074624516",
            "telephone_number": "845-467-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKFORD",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominic Caesar Cirigliano, D.C.
• Civil Chiropractic LLC
• Patricia Civil, D.C.
• Evan Conquest, OTR/L
• Laura Ann Covucci, D.D.S.
• Paul Brian Crowley, D.M.D.
• Patricia Ann Decoste, LPC, LCADC
• Jessica Lynn Degroat, BCBA
• Noah Morgan Develez
• Carol Lee Diorio, MS

• All providers in Vernon, NJ
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.