Central Park West Services, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CENTRAL PARK WEST SERVICES, INC

Practice address

765 Nostrand Avenue
Brooklyn, NY 11216-4203

Phone

(718) 433-0044

Fax

(646) 680-0576

NPI assigned

Nov 16, 2016

Last updated

Oct 19, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Evans Crevecoeur, M.D.NPI 1053351973

Title

President

Phone

(718) 354-6810

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Evans Crevecoeur, MD

  • Anesthesiology Physician
  • Jamaica, NY
  • NPI 1053351973
  Authorized official Same address or phone

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1972045367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 CONWAY RD",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110033519",
            "telephone_number": "718-354-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 NOSTRAND AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112164203",
            "telephone_number": "718-433-0044",
            "fax_number": "646-680-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PARK WEST SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "CREVECOEUR",
        "authorized_official_first_name": "EVANS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-354-6810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.