CRYSTAL RUN HEALTHCARE PHYSICIANS LLP (NPI# 1922316827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922316827 |
| Entity Type | Organization |
| Organization Name | CRYSTAL RUN HEALTHCARE PHYSICIANS LLP |
| Practice Address |
79 Ronald Reagan Blvd Warwick NY 10990-4105 |
| 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 | 2010-09-14 |
| Last Update Date | 2018-01-04 |
| Authorized Official Name | HAL D. 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 |
|---|---|---|---|---|
| 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 |
| 1760931844 | Crystal Run Healthcare Physicians LLP | Durable Medical Equipment & Medical Supplies | 855 State Route 17m, Monroe, NY 10950-1600 | 2016-09-29 |
| 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 |
79 RONALD REAGAN BLVD |
| City | WARWICK |
| State | NY |
| Zip Code | 10990-4105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073955233 | Danielle Barbara Cummings | Physician Assistant | 79 Ronald Reagan Blvd, Warwick, NY 10990-4105 | 2013-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992079 | Trauma and Resiliency Resources, Inc. | Community/Behavioral Health | Winslow Therapeutic Center, 1433 Ny-17a, Warwick, NY 10990 | 2020-08-11 |
| 1881163921 | Warwick Reformed Church | Home Delivered Meals | 16 Maple Avenue, Warwick, NY 10990 | 2018-11-19 |
| 1821522400 | Lauren Weller | Behavior Technician | 103 Little York Road, Warwick, NY 10990 | 2017-04-20 |
| 1154726859 | Marie T Mars | Licensed Practical Nurse | 40 Marian Ct, Warwick, NY 10990 | 2014-10-24 |
| 1417383282 | Lawrence M Kamhi Md PC | Anesthesiology | 121 Village Green Court, Warwick, NY 10990 | 2013-09-24 |
| 1427491398 | Dynamic Therapy Inc | Early Intervention Provider Agency | 47 Homestead Village Drive, Warwick, NY 10990 | 2013-04-10 |
| 1033498381 | Needelia Davis | Registered Nurse | 15 Blue Spruce Trl, Warwick, NY 10990 | 2011-08-04 |
| 1255644803 | Joelle Rodriguez | Optometrist | 36 Ronald Reagan Blvd., Warwick, NY 10990 | 2010-07-23 |
| 1891027900 | Delna M Joseph | Licensed Practical Nurse | 20 Grand Street, Warwick, NY 10990 | 2010-02-01 |
| 1366689200 | Premiere Physical Therapy, PC | Physical Therapist | 56 Onderdonk Rd, Warick, NY 10990 | 2009-01-14 |
| Find all providers in zip 10990 | ||||
| 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 |
|---|---|---|---|---|
| 1821601972 | Amber Enterprises Inc | Durable Medical Equipment & Medical Supplies | 20 Altieri Way Ste 5&6, Warwick, RI 02886-1780 | 2020-08-28 |
| 1982227682 | Orthopedics Rhode Island, Inc. | Durable Medical Equipment & Medical Supplies | 469 Centerville Rd Ste 105, Warwick, RI 02886-4356 | 2020-05-28 |
| 1528524899 | Reliable Respiratory, Inc. | Durable Medical Equipment & Medical Supplies | 400 Warwick Avenue, Units 3 & 4, Warwick, RI 02888-1316 | 2019-02-12 |
| 1508381872 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 33 Plan Way Bldg 3, Warwick, RI 02886-1013 | 2017-08-08 |
| 1639584170 | Tim Phillips | Durable Medical Equipment & Medical Supplies | 535 Red Chimney Dr, Warwick, RI 02886-9562 | 2014-06-24 |
| 1518305283 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 25 Pace Blvd, Warwick, RI 02886-4244 | 2013-06-04 |
| 1588907182 | Ada Home Solutions | Durable Medical Equipment & Medical Supplies | 32 Mill Cove Rd, Warwick, RI 02889-4712 | 2013-04-02 |
| 1538408398 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 75 Lambert Lind Hwy Ste 125, Warwick, RI 02886-1163 | 2013-02-13 |
| 1194077198 | Rhode Island Sleep Diagnostics | Durable Medical Equipment & Medical Supplies | 215 Toll Gate Rd Ste 301, Warwick, RI 02886-4462 | 2012-10-15 |
| 1912299686 | Bean Family Enterprises | Durable Medical Equipment & Medical Supplies | 50 Albany Rd, Warwick, RI 02888-2102 | 2011-05-12 |
| Find all providers in WARWICK | ||||
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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.