Guy G. Crevecoeur, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

182078 Issued in NY

Legal business name

GUY G. CREVECOEUR, MD

Practice address

95-25 Queens Blvd
Rego Park, NY 11374

Phone

(718) 896-4399

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Suzie Ashjian

Title

Cred Manager

Phone

(914) 437-5850

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel J Alpert, MD

  • Gastroenterology Physician
  • New York, NY
  • NPI 1063412708
  NPD (past)
• Guy G Crevecoeur, MD

  • Plastic Surgery Physician
  • Fort Wayne, IN
  • NPI 1124029079
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1972620847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MAPLE AVE",
            "city": "ARMONK",
            "state": "NY",
            "postal_code": "105041836",
            "telephone_number": "914-437-5850",
            "fax_number": "914-437-5849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-25 QUEENS BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "11374",
            "telephone_number": "718-896-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUY G. CREVECOEUR, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "ASHJIAN",
        "authorized_official_first_name": "SUZIE",
        "authorized_official_title_or_position": "CRED MANAGER",
        "authorized_official_telephone_number": "914-437-5850"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "182078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01580914",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guiding Light Speech Language Pathologist, PLLC
• David Khayim Gulamov, PA
• Vyacheslav Gulkarov, FNP
• Rakhel Gurgova
• Isha Gurung, OTR/L
• Alexander Guzman, SOCIAL WORKER
• So Yong Ha
• Habitat Physical Therapy PLLC
• Farzad Avraham Haghighi, M.D.
• Jessica Haimov, PHARMD

• Plastic Surgery Physician in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.

Verify at the official NPI Registry.