Individual provider Active NPI

Gazelle Jean Crasto, DDS, PHD

  • Periodontics
  • Glen Head, NY
National Provider Identifier
1891312419
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
064187-01 Issued in NY
Practice address
333 Glen Head Rd Ste 170
Glen Head, NY 11545-1935
Phone
(516) 484-4741
NPI assigned
Jun 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 064187-01 NY Primary

Addresses

Primary practice location

333 Glen Head Rd Ste 170
Glen Head, NY 11545-1935

Mailing address

333 Glen Head Rd Ste 170
Glen Head, NY 11545-1935
Phone (516) 484-4741

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
064187-01NYMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Brian S. Margolis DDS PC Periodontics CurrentSince Jul 13, 2025 Accepting new patients
Karen Lynette Delaney PLLC PastSince Aug 23, 2020 Accepting new patients

Locations

333 Glen Head Rd
Ste 170
Glen Head, NY 11545
Phone (516) 484-4741

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1891312419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 GLEN HEAD RD STE 170",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115451935",
            "telephone_number": "516-484-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GLEN HEAD RD STE 170",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115451935",
            "telephone_number": "516-484-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRASTO",
        "first_name": "GAZELLE",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DDS, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "064187-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Head, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.