Efrain Crespo-Gomez, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD049380L Issued in PA

Practice address

645 Allerton Ave
Bronx, NY 10467

Phone

(718) 547-7771

Fax

(215) 291-2587

NPI assigned

Nov 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Montefiore North Ambulatory Care Center Inc

  • Community Health Clinic/Center
  • Bronx, NY
  • NPI 1144228099
  NPD (past)
• Ola Pediatrics PC

  • Primary Care Clinic/Center
  • Bronx, NY
  • NPI 1982861936
  NPD (past)

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427760000000",
    "number": "1912980897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 ALLERTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104677403",
            "telephone_number": "718-547-7771",
            "fax_number": "215-291-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 ALLERTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10467",
            "telephone_number": "718-547-7771",
            "fax_number": "215-291-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESPO-GOMEZ",
        "first_name": "EFRAIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2015-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD049380L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015988030001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Nicole Crescenzo, M.D.
• Paul Crespi, OTR/L
• Rebecca Hallie Crespi, CPNP
• Juan Felipe Crespo Quezada, M.D.
• Gladys Crespo Ramos, PHD
• Jillian Allison Crespo-Woo, LCSW
• Angelica H Crespo
• Chastity Crespo, MHC-LP
• Oliver Crespo, PHD
• Creston Opticians Inc

• Pediatrics Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.