Individual provider Active NPI

Harry Florent Crevecoeur, MD

  • Infectious Disease Physician
  • Brooklyn, NY
National Provider Identifier
1720018674
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
184270 Issued in NY
Practice address
2094 Pitkin Ave
Enyd&TC
Brooklyn, NY 11207-3509
Phone
(718) 240-0519
Fax
(718) 240-0585
NPI assigned
Jul 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 184270 NY Primary

Addresses

Primary practice location

2094 Pitkin Ave
Enyd&TC
Brooklyn, NY 11207-3509

Mailing address

927 Edwards Blvd
Valley Stream, NY 11580-1322
Phone (516) 825-1975

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120223000949 NY Practitioner - Infectious DiseasePractitioner - Internal Medicine 7214194828 Reassigns benefits to 4 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Meharry Medical College School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Doral Medical and Multi Specialty Facility LLCGroup PAC ID 9830528645, 53 clinicians

Practice addresses (Care Compare)

1797 Pitkin Ave
Suite 2
Brooklyn, NY 11212-7844
Phone (718) 971-1944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Doral Medical and Multi Specialty Facility LLC CurrentSince Jun 15, 2022 Accepting new patients
Dr. Matthew Jones Medicine, PLLC CurrentSince Oct 1, 2019 Accepting new patients
Brooklyn Plaza Medical Center, Inc Current Accepting new patients
Whitman Ingersoll Farragut Health Center CurrentSince Apr 18, 2024 Accepting new patients
Tilden Medical Group PLLC Infectious Disease Current Accepting new patients
Atlantic Professional Services of Rhode Island Incorporated CurrentSince Aug 1, 2022 Accepting new patients
Doral Pharmacy LLC PastSince Jun 15, 2022 Accepting new patients
PPG Anesthesia, PLLC Past Accepting new patients

Locations

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604

1797 Pitkin Ave
Brooklyn, NY 11212
Phone (718) 367-2555

1797 Pitkin Ave
Ste 2
Brooklyn, NY 11212
Phone (718) 367-2555

331 Knickerbocker Ave
Brooklyn, NY 11237
Phone (718) 971-1944

381 Rockaway Ave
Brooklyn, NY 11212
Phone (347) 201-1051

391 Eastern Pkwy
Brooklyn, NY 11216
Phone (718) 613-1600

5002 Flatlands Ave
Ste C
Brooklyn, NY 11234
Phone (347) 286-0741

650 Fulton St
Brooklyn, NY 11217
Phone (718) 596-9800

650 Fulton St
#0
Brooklyn, NY 11217

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: harry.crevecoeur@bpmc.eclinicaldirectplus.com
  • Direct secure messaging: hcrevecoeur19084@prd.direct.tbh.org

Organizations & group practices 8

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720018674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 EDWARDS BLVD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801322",
            "telephone_number": "516-825-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2094 PITKIN AVE",
            "address_2": "ENYD&TC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112073509",
            "telephone_number": "718-240-0519",
            "fax_number": "718-240-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREVECOEUR",
        "first_name": "HARRY",
        "middle_name": "FLORENT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "184270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.