Individual provider Active NPI

Michael Hugh Crooks, M.D.

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1760496350
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
179637 Issued in NY
Practice address
2386 Jerome Ave Ste 3
Bronx, NY 10468-6401
Phone
(917) 801-4360
Fax
(917) 801-4361
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 179637 NY Primary
Internal Medicine Physician 207R00000X MA60701 NJ

Addresses

Primary practice location

2386 Jerome Ave Ste 3
Bronx, NY 10468-6401

Mailing address

474 Elkwood Terrace
Englewood, NJ 07631-1935
Phone (201) 638-5078

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
I20250416000686 NY Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 4789631961

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA60701NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jerome Medical P.C. CurrentSince Jun 22, 2021 Accepting new patients
Welllife Network Inc. Past Accepting new patients
Bronx Addiction Services Integrated Concepts System Inc PastSince Jan 20, 2009 Accepting new patients
Welllife Network Inc Past Accepting new patients

Organizations & group practices 4

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1760496350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 ELKWOOD TERRACE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311935",
            "telephone_number": "201-638-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2386 JEROME AVE STE 3",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104686401",
            "telephone_number": "917-801-4360",
            "fax_number": "917-801-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROOKS",
        "first_name": "MICHAEL",
        "middle_name": "HUGH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "179637",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA60701",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.