Individual provider Active NPI

Erin Maureen Crystal, PA-C

  • Physician Assistant
  • Florham Park, NJ
National Provider Identifier
1972109213
Registry record updated May 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00596400 Issued in NJ
Practice address
83 Hanover Rd Ste 290
Florham Park, NJ 07932-1520
Phone
(973) 736-2212
Fax
(973) 736-2989
NPI assigned
Dec 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Physician Assistant 363A00000X 25MP00596400 NJ Primary

Addresses

Primary practice location

83 Hanover Rd Ste 290
Florham Park, NJ 07932-1520

Mailing address

83 Hanover Rd Ste 290
Florham Park, NJ 07932-1520
Phone (973) 736-2212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210112000339 NJ Practitioner - Physician Assistant 0446663496 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rwjbh Emergency Medicine Associates, LLCGroup PAC ID 0941612840, 826 clinicians
Northeast Kidney Care LLCGroup PAC ID 8921445032, 66 clinicians

Practice addresses (Care Compare)

1 Clara Maass Dr
Belleville, NJ 07109-3550
Phone (973) 450-2000

206 Belleville Ave
Suite 204B
Bloomfield, NJ 07003-3589
Phone (973) 259-0278

225 Williamson St
Elizabeth, NJ 07202-3625
Phone (908) 994-5422

83 Hanover Rd
Suite 290
Florham Park, NJ 07932-1520
Phone (973) 736-2212

Hospital & facility affiliations

  • Clara Maass Medical Center Hospital, Belleville, NJ, CCN 310009
  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
  • Hackensack Meridian Mountainside Medical Hospital, Montclair, NJ, CCN 310054

Merit-based Incentive Payment System (MIPS)

Final score
87.07 of 100Reported as group
Quality
76.5
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MP00596400NJMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: ecrystal236083@epicdirect.rwjbh.org
  • Direct secure messaging: ecrystal77331@direct.acumenmd.com
  • Direct secure messaging: ecrystal1311422@ahs.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748649600000",
    "number": "1972109213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 HANOVER RD STE 290",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321520",
            "telephone_number": "973-736-2212",
            "fax_number": "973-736-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 HANOVER RD STE 290",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321520",
            "telephone_number": "973-736-2212",
            "fax_number": "973-736-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRYSTAL",
        "first_name": "ERIN",
        "middle_name": "MAUREEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-10",
        "last_updated": "2025-05-31",
        "certification_date": "2025-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00596400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

Verify at the official NPI Registry.