Active NPI
Andrew Jay Faskowitz, D.O.
- Neurology Physician
- Middletown, NY
On this page
- Key facts
- Organizations & group practices8
- Hospital & facility affiliations1
- Care Compare profile
- Medicare participation
- Medicare enrollment records1
- National Provider Directory
- Specialties & licenses3
- Addresses
- Other identifiers1
- Electronic endpoints1
- NPI Registry JSON
- Other providers in Middletown, NY
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 241654
- Practice address
- 155 Crystal Run Rd
Middletown, NY 10941-4028 - Phone
- (845) 703-6999
- Fax
- (845) 703-6297
- NPI assigned
- Aug 27, 2008
- Sex
- Male
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- General Practice Physician
- Middletown, NY
- NPI 1952376410
-
- Durable Medical Equipment & Medical Supplies
- Middletown, NY
- NPI 1023326642
-
- Durable Medical Equipment & Medical Supplies
- Newburgh, NY
- NPI 1053780403
-
- Durable Medical Equipment & Medical Supplies
- Rock Hill, NY
- NPI 1093932477
-
- Durable Medical Equipment & Medical Supplies
- Middletown, NY
- NPI 1649498734
-
- Durable Medical Equipment & Medical Supplies
- Monroe, NY
- NPI 1760931844
-
- Durable Medical Equipment & Medical Supplies
- West Nyack, NY
- NPI 1801248174
-
- Durable Medical Equipment & Medical Supplies
- Monroe, NY
- NPI 1558857425
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Warwick, NY
- NPI 1598755324
Care Compare affiliation Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Crystal Run Healthcare Physicians LLP
Practice addresses (Care Compare)
300 Crystal Run Rd
Middletown, NY 10941-4069
Phone (845) 692-6999
Hospital & facility affiliations
- St Anthony Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.01 of 100
- Quality
- 73.63
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.39
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090630000010 | NY | Practitioner - Neurology | 4486705688 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crystal Run Healthcare Physicians LLP | Current | Accepting new patients | |
| Crystal Run Healthcare Physicians LLP | Current | Accepting new patients |
Locations
155 Crystal Run Rd
Middletown, NY 10941
300 Crystal Run Rd
Middletown, NY 10941
Phone (845) 692-6999
61 Emerald Pl
Rock Hill, NY 12775
Phone (845) 703-8999
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 241654 | NY | Primary |
| Hospice and Palliative Medicine (Psychiatry & Neurology) Physician | 2084H0002X | 241654 | NY | |
| Pain Medicine (Psychiatry & Neurology) Physician | 2084P2900X | 241654 | NY |
Addresses
NPPES NPI RegistryPrimary practice location
155 Crystal Run Rd
Middletown, NY 10941-4028
Mailing address
155 Crystal Run Rd
Middletown, NY 10941-4028
Phone (845) 703-6999
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03091114 | Medicaid | NY |
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | andrew.faskowitzdo.p1@direct.crystalrun.nextgenshare.com | Direct |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 12, 2020.
{
"created_epoch": "1219795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1790932119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 CRYSTAL RUN RD",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109414028",
"telephone_number": "845-703-6999",
"fax_number": "845-703-6297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 CRYSTAL RUN RD",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109414028",
"telephone_number": "845-703-6999",
"fax_number": "845-703-6297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FASKOWITZ",
"first_name": "ANDREW",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-27",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "241654",
"primary": true
},
{
"code": "2084H0002X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Hospice and Palliative Medicine",
"state": "NY",
"license": "241654",
"primary": false
},
{
"code": "2084P2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Pain Medicine",
"state": "NY",
"license": "241654",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03091114",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "andrew.faskowitzdo.p1@direct.crystalrun.nextgenshare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "155 Crystal Run Rd",
"city": "Middletown",
"state": "NY",
"country_code": "US",
"postal_code": "109414028",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.
- 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.