Dominic Hamazh Crawford

Primary specialty

DriverTaxonomy code 172A00000X

License

C72431726804882 Issued in NJ

Practice address

326 1/2 S 11TH St
Newark, NJ 07103-1956

Phone

(862) 237-1215

NPI assigned

May 22, 2019

Last updated

May 22, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Everyday Services and Transportation LLC

  • Developmentally Disabled Services Day Training Agency
  • Newark, NJ
  • NPI 1154900397
  NPD Authorized official

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1952968281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 1/2 S 11TH ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071031956",
            "telephone_number": "862-237-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 1/2 S 11TH ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071031956",
            "telephone_number": "862-237-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "DOMINIC",
        "middle_name": "HAMAZH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "NJ",
            "license": "C72431726804882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernadette Marion Cracchiolo, M.D.
• Stephanie T Craig
• Alexander Burkam Crane
• Cranial Tresses
• Akirah Simone Crawford
• Adriana Gabriela Creanga, DMD
• Rose M Crenshaw-Corley
• Asa Crews, M.D.
• Briana Rose Crilley, MD
• James G Crisall, RPH

• Driver in Newark, NJ
• Providers in Newark, NJ by specialty
• Driver in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.