Active NPI
Michaelcrincoli, PC
- Physical Medicine & Rehabilitation Physician
- Natick, MA
National Provider Identifier
1932402005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- MICHAELCRINCOLI, PC
- Practice address
- 67 Union St
Suite 106
Natick, MA 01760-7700 - Phone
- (508) 650-9999
- Fax
- (508) 653-1054
- NPI assigned
- Dec 13, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Crincoli, MD
- Title
- Preisdent
- Phone
- (508) 650-9999
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
67 Union St
Suite 106
Natick, MA 01760-7700
Mailing address
67 Union St
Suite 106
Natick, MA 01760-7700
Phone (508) 650-9999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3171728 | Medicaid | MA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Denver, CO
- NPI 1497728372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296691200000",
"number": "1932402005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 UNION ST",
"address_2": "SUITE 106",
"city": "NATICK",
"state": "MA",
"postal_code": "017607700",
"telephone_number": "508-650-9999",
"fax_number": "508-653-1054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 UNION ST",
"address_2": "SUITE 106",
"city": "NATICK",
"state": "MA",
"postal_code": "017607700",
"telephone_number": "508-650-9999",
"fax_number": "508-653-1054"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAELCRINCOLI, PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-13",
"last_updated": "2011-02-03",
"status": "A",
"authorized_official_last_name": "CRINCOLI",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PREISDENT",
"authorized_official_telephone_number": "508-650-9999",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3171728",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Natick, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.