Individual provider Active NPI

Crystal N Appel, PA

  • Physician Assistant
  • Basking Ridge, NJ
National Provider Identifier
1578829560
Registry record updated Jan 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00625900 Issued in NJ
Practice address
12 Ridge St
Basking Ridge, NJ 07920-1785
Phone
(908) 766-7546
NPI assigned
Apr 4, 2012
Last updated
Jan 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 014304 NY
Physician Assistant 363A00000X NU
Physician Assistant 363A00000X 25MP00625900 NJ Primary

Addresses

Primary practice location

12 Ridge St
Basking Ridge, NJ 07920-1785

Mailing address

54 New Brunswick Ave
Perth Amboy, NJ 08861-2241
Phone (718) 996-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211006002267 NJ Practitioner - Physician Assistant 1759789613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choice Dermatology LLCGroup PAC ID 9133382609, 7 clinicians

Practice addresses (Care Compare)

1050 Galloping Hill Rd
Suite 202
Union, NJ 07083-7980
Phone (908) 355-0112

1145 Bordentown Ave
Suite 5
Parlin, NJ 08859-1851
Phone (732) 820-9602

12 Ridge St
Basking Ridge, NJ 07920-1785
Phone (908) 766-7546

159 Main St
Chatham, NJ 07928-2415
Phone (973) 900-6311

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00625900NJMDPhysician Assistant
014304NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
City Central Dermatology PLLC PastSince Mar 1, 2021 Accepting new patients
Richard S. Berry MDPC PastSince Mar 1, 2021 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643500800000",
    "number": "1578829560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 NEW BRUNSWICK AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088612241",
            "telephone_number": "718-996-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 RIDGE ST",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079201785",
            "telephone_number": "908-766-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPEL",
        "first_name": "CRYSTAL",
        "middle_name": "N",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-04",
        "last_updated": "2022-01-30",
        "certification_date": "2022-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "014304",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00625900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basking Ridge, NJ

Sources for this page

Verify at the official NPI Registry.