Individual provider Active NPI

Tasha Yvette Crump, RDMS

  • Diagnostic Ultrasound Physician
  • Middletown, NY
National Provider Identifier
1922883206
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
License
120201 Issued in NY
Practice address
90 North St Ste 207
Middletown, NY 10940-5360
Phone
(845) 394-0095
NPI assigned
Aug 25, 2023
Last updated
Aug 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound Physician 2085U0001X 120201 NY Primary

Addresses

Primary practice location

90 North St Ste 207
Middletown, NY 10940-5360

Mailing address

644 Silver Lake Scotchtown Rd Apt 18F
Middletown, NY 10941-1523
Phone (845) 394-0095

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

LicenseStateTypeSpecialty
120201NYMDDiagnostic Ultrasound Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Love at First Sight 3D 4D Studio, LLC Diagnostic Ultrasound CurrentSince Sep 5, 2023 Accepting new patients

Locations

90 North St
Ste 207
Middletown, NY 10940
Phone (845) 394-0095

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1922883206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 SILVER LAKE SCOTCHTOWN RD APT 18F",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109411523",
            "telephone_number": "845-394-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 NORTH ST STE 207",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109405360",
            "telephone_number": "845-394-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMP",
        "first_name": "TASHA",
        "middle_name": "YVETTE",
        "credential": "RDMS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NY",
            "license": "120201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.