Active NPI
Brooke V. Crowley, D.P.M.
- Podiatrist
- Center Moriches, NY
National Provider Identifier
1962502005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N0045451
- Practice address
- 15 N Ocean Ave
Center Moriches, NY 11934-2303 - Phone
- (163) 187-8115
- Fax
- (163) 187-8024
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N0045451 | NY | Primary |
Addresses
Primary practice location
15 N Ocean Ave
Center Moriches, NY 11934-2303
Mailing address
15 N Ocean Ave
P.O. Box 1254
Center Moriches, NY 11934-2303
Phone (163) 187-8115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01440555 | Medicaid | NY |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N0045451 | NY | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albert C Esposito | Podiatrist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Podiatrist
- Patchogue, NY
- NPI 1871818393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962502005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 N OCEAN AVE",
"address_2": "P.O. BOX 1254",
"city": "CENTER MORICHES",
"state": "NY",
"postal_code": "119342303",
"telephone_number": "163-187-8115",
"fax_number": "163-187-8024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 N OCEAN AVE",
"city": "CENTER MORICHES",
"state": "NY",
"postal_code": "119342303",
"telephone_number": "163-187-8115",
"fax_number": "163-187-8024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWLEY",
"first_name": "BROOKE",
"middle_name": "V.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N0045451",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01440555",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Center Moriches, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.