CRYSTAL RUN HEALTHCARE PHYSICIANS LLP (NPI# 1760931844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760931844 |
| Entity Type | Organization |
| Organization Name | CRYSTAL RUN HEALTHCARE PHYSICIANS LLP |
| Practice Address |
855 State Route 17m Monroe NY 10950-1600 |
| Mailing Address |
155 Crystal Run Rd Middletown NY 10941-4028 |
| Practice Telephone | 8457036999 |
| Practice Fax Number | 8457036297 |
| Mailing Telephone | 8457036999 |
| Mailing Fax Number | 8457036297 |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2018-01-04 |
| Authorized Official Name | HAL DAVID TEITELBAUM (MANAGING PARTNER & CEO) |
| Authorized Official Telephone | 8457036999 |
| Authorized Official Credential | MD, JD, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | NY | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922316827 | Crystal Run Healthcare Physicians LLP | Durable Medical Equipment & Medical Supplies | 79 Ronald Reagan Blvd, Warwick, NY 10990-4105 | 2010-09-14 |
| 1225255615 | Crystal Run Healthcare Physicians LLP | Durable Medical Equipment & Medical Supplies | 7 Hatfield Ln, Goshen, NY 10924-6757 | 2007-04-19 |
| 1801362801 | Crystal Run Healthcare Physicians LLP | Clinic/Center | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2018-10-17 |
| 1649766510 | Crystal Run Healthcare Physicians LLP | Durable Medical Equipment & Medical Supplies | 219 Blooming Grove Tpke, New Windsor, NY 12553-7769 | 2018-07-03 |
| 1558857425 | Crystal Run Healthcare Physicians LLP | Durable Medical Equipment & Medical Supplies | 745 State Route 17m, Monroe, NY 10950-2660 | 2018-07-03 |
| 1609388289 | Crystal Run Healthcare Physicians LLP | Clinical Medical Laboratory | 807 State Route 17m, Monroe, NY 10950-2625 | 2017-11-03 |
| 1801248174 | Crystal Run Healthcare Physicians LLP | Durable Medical Equipment & Medical Supplies | 2 Centerock Rd, West Nyack, NY 10994-2215 | 2016-07-11 |
| 1053780403 | Crystal Run Healthcare Physicians LLP | Durable Medical Equipment & Medical Supplies | 1200 Route 300, Newburgh, NY 12550-5003 | 2015-09-16 |
| 1942518527 | Crystal Run Healthcare Physicians LLP | Durable Medical Equipment & Medical Supplies | 807 State Route 17m, Monroe, NY 10950-2625 | 2010-09-17 |
| 1023326642 | Crystal Run Healthcare Physicians LLP | Durable Medical Equipment & Medical Supplies | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2010-09-16 |
| Street Address |
855 STATE ROUTE 17M |
| City | MONROE |
| State | NY |
| Zip Code | 10950-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992797500 | Kimberly A. Estler | Obstetrics & Gynecology | 855 State Route 17m, Monroe, NY 10950-1600 | 2005-08-19 |
| 1003463803 | Alyssa Danielle Bujalski | Nurse Practitioner | 855 State Route 17m, Monroe, NY 10950-1600 | 2019-08-26 |
| 1164944294 | Taisha S Davis | Nurse Practitioner | 855 State Route 17m, Monroe, NY 10950-1600 | 2017-07-11 |
| 1154861060 | Caitlin Lakeman | Nurse Practitioner | 855 State Route 17m, Monroe, NY 10950-1600 | 2017-02-27 |
| 1649633355 | Rashek Kazi | Dermatology | 855 State Route 17m, Monroe, NY 10950-1600 | 2016-03-30 |
| 1720462369 | Zohra Ludmerer | Nurse Practitioner | 855 State Route 17m, Monroe, NY 10950-1600 | 2015-07-14 |
| 1922409994 | Munish Kumar | Pediatrics | 855 State Route 17m, Monroe, NY 10950-1600 | 2014-09-10 |
| 1265844898 | Ashwin Vilas Rangavajjula | Pain Medicine | 855 State Route 17m, Monroe, NY 10950-1600 | 2014-06-02 |
| 1174941967 | Bhakti Shah | Internal Medicine | 855 State Route 17m, Monroe, NY 10950-1600 | 2014-03-31 |
| 1750627683 | Katherine D Wood | Podiatrist | 855 State Route 17m, Monroe, NY 10950-1600 | 2012-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588202063 | Tova Schur | Physician Assistant | 2 Strelisk Court, Monroe, NY 10950 | 2019-12-16 |
| 1265947238 | Brenda Ayllene Sabatello | Specialist | 126 Barr Lne, Monroe, NY 10950 | 2017-12-12 |
| 1740719038 | Heartstrings LLC | Home Health | 6 Mountain Road, Unit 204, Monroe, NY 10950 | 2017-06-08 |
| 1841739752 | Committed Home Care Inc. | Home Health | 14 Fillmore Court Unit 311, Monroe, NY 10950 | 2017-02-13 |
| 1104362813 | Alison Guiney | Case Manager/Care Coordinator | 101 Stage Road, Monroe, NY 10950 | 2017-01-19 |
| 1710436332 | Elite Services Ny Inc. | Home Health | 48 Bakertown Road Suite 204, Monroe, NY 10950 | 2016-09-23 |
| 1780047084 | Stephanie Santiago | Occupational Therapy Assistant | 27 Sandra Ln, Monroe, NY 10950 | 2016-04-04 |
| 1851770440 | Priority Home Care Services, Inc. | Home Health | 48 Bakertown Road, Suite 204, Monroe, NY 10950 | 2015-05-28 |
| 1518344274 | Mydesh Inc | Pharmacy | 581 Nys Route 17m, Monroe, NY 10950 | 2015-05-01 |
| 1942694377 | Yenty Fischel | Occupational Therapist | 1 Diner Rd, Monroe, NY 10950 | 2015-03-24 |
| Find all providers in zip 10950 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316568835 | Lion Analytical | Durable Medical Equipment & Medical Supplies | 2 Adelake Fare Way, Monroe, NY 10950-7113 | 2020-05-06 |
| 1871059626 | Monroe Hometown Pharmacy West LLC | Durable Medical Equipment & Medical Supplies | 131 W 7th St Unit B, Monroe, WI 53566-3716 | 2019-02-18 |
| 1457826331 | Nu Life Medical Supply | Durable Medical Equipment & Medical Supplies | 1 Rossmoor Dr Ste 140, Monroe, NJ 08831-1596 | 2018-10-08 |
| 1346736113 | Carolinas Medical Center At Home, LLC | Durable Medical Equipment & Medical Supplies | 613 E Roosevelt Blvd Ste 100, Monroe, NC 28112-5124 | 2018-07-05 |
| 1548787104 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 785 State Route 17m Ste 6, Monroe, NY 10950-2629 | 2017-08-24 |
| 1730603143 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 475 State Route 17m Ste 3, Monroe, NY 10950-4170 | 2017-07-27 |
| 1346761020 | Publix North Carolina Lp | Durable Medical Equipment & Medical Supplies | 5132 Old Charlotte Hwy, Monroe, NC 28110-7342 | 2017-07-03 |
| 1730612904 | Clorthotix & Medix, LLC | Durable Medical Equipment & Medical Supplies | 2111 Justice St, Monroe, LA 71201-3617 | 2017-04-05 |
| 1417499849 | Morgan Voegeli | Durable Medical Equipment & Medical Supplies | 1015 16th Ave, Monroe, WI 53566-1764 | 2016-11-16 |
| 1790138410 | Wright & Filippis, LLC | Durable Medical Equipment & Medical Supplies | 811 N Macomb St Ste B, Monroe, MI 48162-2929 | 2016-07-18 |
| Find all providers in MONROE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.