Bonny Chrystal, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

332345 Issued in NY

Practice address

50 Halsey St
Port Jefferson Station, NY 11776-2730

Phone

(631) 384-0006

NPI assigned

Aug 26, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271635200000",
    "number": "1831346436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 HALSEY ST",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762730",
            "telephone_number": "631-384-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HALSEY ST",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762730",
            "telephone_number": "631-384-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRYSTAL",
        "first_name": "BONNY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2010-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "332345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Varghese Cherian, M.D.
• Christopher Chiarelli
• Chiropractic of Stony Brook PLLC
• Ajay Earl Chitkara, M.D.
• Sun Lan Choi
• David Tin Chu, M.D.
• Celeste Ciabattari
• Reinette Marie Cicero, OTR/L
• Stephen Matthew Cidoni
• Julia Cirrone, MS

• Registered Nurse in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.