Organization Active NPI

133 East Medical PC

  • Anatomic Pathology & Clinical Pathology Physician
  • New York, NY
National Provider Identifier
1508002445
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
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

Updated by the provider on Nov 8, 2017

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)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 60247944 NY
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.