Active NPI
Crystal Ann Marques
- Registered Nurse
- Laurelton, NY
National Provider Identifier
1871005611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 740567
- Practice address
- 23214 Merrick Blvd
Laurelton, NY 11413-2115 - Phone
- (718) 528-3432
- NPI assigned
- Nov 2, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 740567 | NY | Primary |
Addresses
Primary practice location
23214 Merrick Blvd
Laurelton, NY 11413-2115
Mailing address
145-40 Guy R Brewer Blvd
Jamaica, NY 11434
Phone (239) 645-5948
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 740567 | Other | NY | OTHER |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 740567 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509580800000",
"number": "1871005611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145-40 GUY R BREWER BLVD",
"city": "JAMAICA",
"state": "NY",
"postal_code": "11434",
"telephone_number": "239-645-5948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23214 MERRICK BLVD",
"city": "LAURELTON",
"state": "NY",
"postal_code": "114132115",
"telephone_number": "718-528-3432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARQUES",
"first_name": "CRYSTAL",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-02",
"last_updated": "2017-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "740567",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER",
"identifier": "740567",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laurelton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.