Diana ABA Croffie

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

767570 Issued in NY

Practice address

77 Chicago Ave
Staten Island, NY 10305-3757

Phone

(718) 442-7828

NPI assigned

Oct 22, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1649879412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CHICAGO AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CHICAGO AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053757",
            "telephone_number": "718-442-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROFFIE",
        "first_name": "DIANA",
        "middle_name": "ABA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "767570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Moccia
• Rose Crivera, SOCIAL WORKER LCSW
• Alena Crociata, CRNA, DNP
• Merrick Dwayne Crocker, RN
• Crocus Home Care LLC
• Sharon E Cromer, RN
• Adam Cropper
• Theodora Montell Cross, RN,MS,CNS,ANP-BC,CDE
• Sedia Crossman, BSN, RN
• Crosstown Livery LLC

• Registered Nurse in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.