Annisha Nikeisha Creary, PHYSICIAN ASSISTANT

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

0115391-1 Issued in NY

Practice address

451 Clarkson Ave
Brooklyn, NY 11203-2057

Phone

(718) 245-4687

NPI assigned

Nov 8, 2006

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

Enrolled in NY, NJ2 enrollments

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: hackensackmeridian.annishacreary@136290.advancedmd-direct.com

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.

• Hospitalist Medicine Physicians of New York, PLLC

  dba Sound Physicians Emergency Medicine of New York

  • Emergency Medicine Physician
  • Bronx, NY
  • NPI 1205944329
  Medicare reassignment
• Orange Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Middletown, NY
  • NPI 1043378151
  Medicare reassignment
• Doctor's Office of West Caldwell LLC

  • Urgent Care Clinic/Center
  • West Caldwell, NJ
  • NPI 1144524786
  Medicare reassignment
• Doctors Office of New Jersey, LLC

  • Urgent Care Clinic/Center
  • Midland Park, NJ
  • NPI 1508264177
  Medicare reassignment
• Excel Urgent Care of NJ LLC

  • Urgent Care Clinic/Center
  • Old Bridge, NJ
  • NPI 1255742243
  Medicare reassignment
• Excel Urgent Care of Paramus LLC

  • Internal Medicine Physician
  • Paramus, NJ
  • NPI 1063652220
  Medicare reassignment
• Hackensack Meridian Urgent Care, PC

  • Urgent Care Clinic/Center
  • Freehold, NJ
  • NPI 1285165209
  Medicare reassignment
• Northern Ohio Medical Specialists, LLC

  dba NOMS Premium Imaging Center

  • Radiology Clinic/Center
  • Sheffield Village, OH
  • NPI 1508811332
  NPD (past)
• The Radiology Group of New Jersey, LLC

  dba The Medical Group of New Jersey

  • Multi-Specialty Clinic/Center
  • Hackettstown, NJ
  • NPI 1174010540
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821168956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 NOSTRAND AVE APT 526",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104012",
            "telephone_number": "347-782-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 CLARKSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032057",
            "telephone_number": "718-245-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREARY",
        "first_name": "ANNISHA",
        "middle_name": "NIKEISHA",
        "name_prefix": "Miss",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "0115391-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Towanna Crawford
• Diana Crayne
• Viola Crayton
• Rachel Creagan, LMSW
• Chris Crean
• Mareena Creary, NP
• Redell Creary
• Shawn Creary, RN
• Creative Acupuncture, PC
• Creative Approach to Learning (Svetlana Shalumov)

• Surgical Physician Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Surgical Physician Assistant 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.