Nicoleta Camelia Bodea- Crisan, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

236191 Issued in NY

Practice address

998 Crooked Hill Rd
W Brentwood, NY 11717-1043

Phone

(631) 761-2191

Fax

(631) 761-2816

NPI assigned

Oct 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nicoleta Camelia Bodea Crisan Other name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Nys Office of Mental Health

  • Psychiatric Hospital
  • West Brentwood, NY
  • NPI 1740344910
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689756025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 MAIN ST",
            "address_2": "APARTMENT B",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762110",
            "telephone_number": "516-801-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 CROOKED HILL RD",
            "city": "W BRENTWOOD",
            "state": "NY",
            "postal_code": "117171043",
            "telephone_number": "631-761-2191",
            "fax_number": "631-761-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODEA- CRISAN",
        "first_name": "NICOLETA CAMELIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "236191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLETA CAMELIA",
            "last_name": "BODEA CRISAN",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rafael Antonio Almanzar-Peniche, M.D.
• Stephanie Bowler
• Catherine Buehler, RN-BC
• Yvonne Bush
• Patricia A Caballero, MS
• Leoncia Esquivel Carlota, M.D.

• Neurology Physician in W Brentwood, NY
• Providers in W Brentwood, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.