Active NPI
Michael Jason Crupain, M.D.
- General Practice Physician
- Tarrytown, NY
National Provider Identifier
1902057656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 250575
- Practice address
- 416 Benedict Ave Apt 1C
Tarrytown, NY 10591-4907 - Phone
- (646) 279-5087
- NPI assigned
- Sep 30, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 250575 | NY | Primary |
Addresses
Primary practice location
416 Benedict Ave Apt 1C
Tarrytown, NY 10591-4907
Mailing address
416 Benedict Ave Apt 1C
Tarrytown, NY 10591-4907
Phone (646) 279-5087
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 250575 | NY | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222732800000",
"number": "1902057656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 BENEDICT AVE APT 1C",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105914907",
"telephone_number": "646-279-5087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 BENEDICT AVE APT 1C",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105914907",
"telephone_number": "646-279-5087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUPAIN",
"first_name": "MICHAEL",
"middle_name": "JASON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-30",
"last_updated": "2008-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NY",
"license": "250575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tarrytown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.