Crossover Health Medical Group

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

CROSSOVER HEALTH MEDICAL GROUP

Practice address

1701 John F Kennedy Blvd FL 25
Philadelphia, PA 19103-2851

Phone

(949) 891-0328

NPI assigned

Jun 14, 2019

Organization subpart

No

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

Authorized official

Name

Angie Sakioka

Title

HR Operations Specialist

Phone

(949) 891-0328

Specialties & licenses 1

Addresses

Other names 1

• Crossover Health Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Crossover Medical Group89 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Crossover Health Medical Group

  • Specialist
  • Philadelphia, PA
  • NPI 1811851306
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tiffani Dawn Lemen, M.D.

  • Family Medicine Physician
  • Lewes, DE
  • NPI 1760651210
  NPD

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1629638481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 JOHN F KENNEDY BLVD FL 25",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191032851",
            "telephone_number": "949-891-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 JOHN F KENNEDY BLVD FL 25",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191032851",
            "telephone_number": "949-891-0328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Comcast Ctr, 1701 John F Kennedy Boulevard",
            "address_purpose": "LOCATION",
            "city": "Philadelphia,",
            "state": "PA",
            "postal_code": "19103",
            "country_code": "US",
            "telephone_number": "949-891-0328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 John F Kennedy Blvd Fl 25",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191032851",
            "country_code": "US",
            "telephone_number": "949-891-0328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CROSSOVER HEALTH MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "SAKIOKA",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "HR OPERATIONS SPECIALIST",
        "authorized_official_telephone_number": "949-891-0328"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossover Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crossover Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie A. Cross, MD
• Tiffany Cross, PA-C
• Automm Crossman-Lombardo, MD
• Claire Crossman
• Megan Crossman
• Crossover Health Medical Group
• Lucy Crosthwait
• Desiree Croteau, PHARMD, BCOP
• Scott William Crothamel, CRNP
• Abigail Ione Crothers, MD

• Multi-Specialty Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Multi-Specialty Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.