Individual provider Active NPI

Kelly Crimi, PA-C

  • Physician Assistant
  • New York, NY
National Provider Identifier
1952855504
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
019803-1 Issued in NY
Practice address
138 Delancey St
New York, NY 10002-3325
Phone
(212) 609-2541
NPI assigned
Aug 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 019803-1 NY Primary

Addresses

Primary practice location

138 Delancey St
New York, NY 10002-3325

Mailing address

1345 RXR PLZ
Uniondale, NY 11556-1301
Phone (516) 453-0435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161006001510 NY Practitioner - Physician Assistant 0042508046 Reassigns benefits to 1 organization
I20241011003189 CT Practitioner - Physician Assistant 0042508046 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

506 Westport Ave
Norwalk, CT 06851-4424
Phone (203) 706-4170

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
019803-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jul 16, 2016 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Sep 30, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Jul 16, 2016 Accepting new patients
St. Vincents Urgent Care LLC Physician Assistant CurrentSince Jan 15, 2026 Accepting new patients
St. Vincents Urgent Care LLC CurrentSince Jan 15, 2026 Accepting new patients

Locations

525 Tunxis Hill Cut Off
Fairfield, CT 06825
Phone (203) 557-8200

506 Westport Ave
Norwalk, CT 06851
Phone (203) 706-4170

7365 Main St
Ste 7
Stratford, CT 06614
Phone (203) 696-3505

111 E 210th St
Bronx, NY 10467

1825 Eastchester Rd
Bronx, NY 10461
Phone (718) 904-2000

1345 Avenue of the Americas
Fl 8
New York, NY 10105
Phone (212) 913-0828

Interoperability endpoints

  • Direct secure messaging: kelly.crimi.1@2983.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1952855504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 RXR PLZ",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115561301",
            "telephone_number": "516-453-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 DELANCEY ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100023325",
            "telephone_number": "212-609-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIMI",
        "first_name": "KELLY",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-12",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "019803-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.