Active NPI
Jennifer Ivy Crowe
- Physician Assistant
- Williamsville, NY
National Provider Identifier
1902373699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 025382
- Practice address
- 1120 Youngs Rd
Williamsville, NY 14221-2695 - Phone
- (877) 664-6669
- NPI assigned
- Oct 31, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 025382 | NY | Primary |
Addresses
Primary practice location
1120 Youngs Rd
Williamsville, NY 14221-2695
Mailing address
1120 Youngs Rd
Williamsville, NY 14221-2695
Phone (778) 664-6669
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025486 | NY | MD | Psychologist |
Interoperability endpoints
- danielirifkinmdpc.jennifercrowe@158847.advancedmd-direct.com
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.
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Williamsville, NY
- NPI 1730125139
-
- General Practice Physician
- Dunkirk, NY
- NPI 1093959322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1902373699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 YOUNGS RD",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142212695",
"telephone_number": "778-664-6669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 YOUNGS RD",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142212695",
"telephone_number": "877-664-6669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWE",
"first_name": "JENNIFER",
"middle_name": "IVY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-31",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "025382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.