NPIMap

Organization Active NPI

Crown Heights Medical, P.C.

  • Multi-Specialty Clinic/Center
  • Monsey, NY
National Provider Identifier
1821210402
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
232596 Issued in NY
Legal business name
CROWN HEIGHTS MEDICAL, P.C.
Practice address
1 Main St
Monsey, NY 10952-3704
Phone
(845) 371-7200
NPI assigned
May 3, 2007
Last updated
May 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Authorized official

Name
Dr. Seth David Kurtz, MDNPI 1023113453
Title
President
Phone
(845) 371-7200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 232596 NY Primary

Addresses

Primary practice location

1 Main St
Monsey, NY 10952-3704

Mailing address

12 Deerwood Rd
Spring Valley, NY 10977-1001

Other practice location 1

4426 18th Ave
Brooklyn, NY 11204-1201
Phone (718) 854-0001

Other identifiers 1

IdentifierTypeStateIssuer
02811094MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210728002910 NY Part B Supplier - Clinic/Group Practice 1850794843 Receives reassigned benefits from 32 practitioners
Practice locations: Staten Island, NY; New York, NY; Monsey, NY; Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

570 Nostrand Ave
Brooklyn, NY 11216

314 Bradley Ave
Staten Island, NY 10314
Phone (718) 494-1700

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1821210402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 DEERWOOD RD",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109771001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MAIN ST",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109523704",
            "telephone_number": "845-371-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4426 18th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112041201",
            "country_code": "US",
            "telephone_number": "718-854-0001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CROWN HEIGHTS MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "KURTZ",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-371-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NY",
            "license": "232596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02811094",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monsey, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.