Individual provider Active NPI

Shirley Elizabeth Braithwaite-Crawford

  • Student in an Organized Health Care Education/Training Program
  • Far Rockaway, NY
National Provider Identifier
1598685133
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
821 Bay 25TH St RM 106
Far Rockaway, NY 11691-1800
Phone
(718) 337-9441
Fax
(718) 337-9442
NPI assigned
Jul 15, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

821 Bay 25TH St RM 106
Far Rockaway, NY 11691-1800

Mailing address

75 Commercial St
Freeport, NY 11520-2833
Phone (718) 337-9441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Jewish Medical Center Past Accepting new patients
North Shore-Lij Medical PC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1598685133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 COMMERCIAL ST",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115202833",
            "telephone_number": "718-337-9441",
            "fax_number": "718-337-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 BAY 25TH ST RM 106",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911800",
            "telephone_number": "718-337-9441",
            "fax_number": "718-337-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAITHWAITE-CRAWFORD",
        "first_name": "SHIRLEY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.