Active NPI
133 East Medical PC
- Anatomic Pathology & Clinical Pathology Physician
- New York, NY
National Provider Identifier
1508002445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- 133 EAST MEDICAL PC
- Practice address
- 252 E 61St St Apt 1DN
New York, NY 10065-8559 - Phone
- (631) 264-2035
- Fax
- (631) 264-1418
- NPI assigned
- Dec 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Stephen Crespin, MD
- Title
- Owner
- Phone
- (917) 721-8802
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 60247944 | NY | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
Primary practice location
252 E 61St St Apt 1DN
New York, NY 10065-8559
Mailing address
PO Box 270
Massapequa Park, NY 11762-0270
Phone (631) 264-2035
National Provider Directory
National Provider DirectoryLocations
252 E 61st St
Apt 1DN
New York, NY 10065
Phone (212) 439-6700
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hypertension Specialist Physician
- New York, NY
- NPI 1639282908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1510099200000",
"number": "1508002445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 270",
"city": "MASSAPEQUA PARK",
"state": "NY",
"postal_code": "117620270",
"telephone_number": "631-264-2035",
"fax_number": "631-264-1418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "252 E 61ST ST APT 1DN",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100658559",
"telephone_number": "631-264-2035",
"fax_number": "631-264-1418"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "133 EAST MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-24",
"last_updated": "2017-11-08",
"status": "A",
"authorized_official_last_name": "CRESPIN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "STEPHEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-721-8802",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "NY",
"license": "60247944",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.