Active NPI
Michael A Crivaro, MD
- Surgery Physician
- Allentown, PA
National Provider Identifier
1851384291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD027414E
- Practice address
- 1200 S Cedar Crest Blvd FL 3
Allentown, PA 18103-6202 - Phone
- (610) 402-8355
- Fax
- (610) 402-2877
- NPI assigned
- Aug 30, 2005
- Last updated
- Mar 29, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD027414E | PA | Primary |
| Vascular Surgery Physician | 2086S0129X | MD027414E | PA |
Addresses
Primary practice location
1200 S Cedar Crest Blvd FL 3
Allentown, PA 18103-6202
Mailing address
PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500
Other practice location 1
1650 Huntingdon Pike
Suite 350
Meadowbrook, PA 19046
Phone (215) 947-9272
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00175313202 | Medicaid | PA | |
| 001753132002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522281600000",
"number": "1851384291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 783311",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191783311",
"telephone_number": "484-884-4500",
"fax_number": "484-884-0699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 S CEDAR CREST BLVD FL 3",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036202",
"telephone_number": "610-402-8355",
"fax_number": "610-402-2877"
}
],
"practiceLocations": [
{
"address_1": "1650 Huntingdon Pike",
"address_2": "Suite 350",
"address_purpose": "LOCATION",
"city": "Meadowbrook",
"state": "PA",
"postal_code": "19046",
"country_code": "US",
"telephone_number": "215-947-9272",
"fax_number": "215-947-6487",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRIVARO",
"first_name": "MICHAEL",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2018-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD027414E",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "PA",
"license": "MD027414E",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00175313202",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001753132002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.