CRYSTAL RUN AMBULATORY SURGERY (NPI# 1922230853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922230853 |
| Entity Type | Organization |
| Organization Name | CRYSTAL RUN AMBULATORY SURGERY |
| Practice Address |
95 Crystal Run Rd Middletown NY 10941-7001 |
| Practice Telephone | 8457036999 |
| Practice Fax Number | 8457036297 |
| Mailing Telephone | 8457036999 |
| Mailing Fax Number | 8457036297 |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2015-05-13 |
| Authorized Official Name | ROBIN KARPFEN (MEMBER, BOARD OF MANAGERS) |
| Authorized Official Telephone | 8457036999 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03240397 | 05 |
| Street Address |
95 CRYSTAL RUN RD |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10941-7001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871590661 | Karyn F. Robertson | Physician Assistant | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2005-07-07 |
| 1821600032 | Christina Couto | Occupational Therapist | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2020-08-19 |
| 1629698717 | Brian P Dudgeon | Physician Assistant | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2020-04-20 |
| 1073143145 | Heather Murphy-loucks | Nurse Practitioner | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2020-01-17 |
| 1316581069 | Lakeisha Bristow | Nurse Practitioner | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2019-11-05 |
| 1447811294 | Julia E. Byman | Physician Assistant | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2019-06-24 |
| 1396212478 | Megan Staudle | Physician Assistant | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2018-10-26 |
| 1568939775 | Logan Z Reisenbigler | Physician Assistant | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2018-10-25 |
| 1225515448 | Jaclyn A. Fisher | Nurse Practitioner | 95 Crystal Run Rd, Middletown, NY 10941 | 2018-07-20 |
| 1922596527 | Nefertari Alisha Owens | Obstetrics & Gynecology | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2018-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407471428 | Jackeline Montoya | Case Manager/Care Coordinator | 13 Kensington Manor, Middletown, NY 10941 | 2020-06-15 |
| 1124502398 | Kimberly Dominique Mccormick | Licensed Practical Nurse | 29, Macintosh Drive, Middletown, NY 10941 | 2018-09-24 |
| 1750891081 | Heather Skinner | Case Manager/Care Coordinator | 75 Crystal Run Rd Suite 201, Middletown, NY 10941 | 2017-09-29 |
| 1295281012 | Christa Lloyd | Counselor | 15 Fortune Rd, West Middletown, NY 10941 | 2016-08-31 |
| 1023471109 | Lauren Battaglia | Occupational Therapy Assistant | 192 Tower Drive Suite 400, Middletown, NY 10941 | 2016-04-05 |
| 1992188718 | Brynn Sierra | Occupational Therapist | 21 Riverside Drive, Middletown, NY 10941 | 2015-06-30 |
| 1356788574 | Keren Denis Joseph | Custodial Care Facility | 16 Disco Dr, Middletown, NY 10941 | 2013-05-29 |
| 1902169204 | Susan A. Reilly | Specialist | 2277 Gosen Turnpike, Middletown, NY 10941 | 2012-06-21 |
| 1518229392 | Dena Sapp | Case Manager/Care Coordinator | 75 Crystal Run Rd. Suite 201, Middletown, NY 10941 | 2012-06-08 |
| 1770800542 | Orange County Medical Transportation Inc. | Taxi | 80 Wisner Avenue, Middletown, NY 10941 | 2010-05-03 |
| Find all providers in zip 10941 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972026359 | Middletown Medical PC | Clinic/Center | 111 Maltese Dr Ste 302, Middletown, NY 10940-2115 | 2017-07-18 |
| 1932438553 | Middlesex Center for Advanced Orthopedic Surgery, LLC | Clinic/Center | 510 Saybrook Road, Middletown, CT 06457-4711 | 2009-12-10 |
| 1770737413 | Specialty Surgery of Middletown, LLC | Clinic/Center | 1270 Route 35, Suite 3, Middletown, NJ 07748-2014 | 2008-11-07 |
| 1699748855 | Middletown Endoscopy Asc LLC | Clinic/Center | 257 N Breiel Blvd, Middletown, OH 45042-3807 | 2006-02-08 |
| 1538167176 | Southwest Ohio Ambulatory Surgery Center, Ltd | Clinic/Center | 295 N Breiel Blvd, Middletown, OH 45042-3807 | 2005-07-08 |
| 1487910188 | Middletown Urologic Associates, P.C. | Clinic/Center | 236 Crystal Run Rd, Suite 4, Middletown, NY 10941-4060 | 2012-04-06 |
| 1801944343 | Hudson Valley Ambulatory Surgery, LLC | Clinic/Center | 75 Crystal Run Rd, Bldg. B, Suite #225, Middletown, NY 10941-7000 | 2007-01-08 |
| 1972522985 | Middlesex Endoscopy Center LLC | Clinic/Center | 410 Saybrook Rd, Suite 200, Middletown, CT 06457-4777 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486511 | Park Avenue Ambulatory Center LLC | Clinic/Center | 737 Park Ave Frnt 1b, New York, NY 10021-4248 | 2020-10-30 |
| 1083220123 | Queens Surgical Center LLC | Clinic/Center | 3636 Main St Ste 1s, Flushing, NY 11354-6517 | 2020-09-22 |
| 1083230833 | Surgicare of Westside, LLC | Clinic/Center | 438 W 51st St Fl 5, New York, NY 10019-6503 | 2020-06-17 |
| 1780206292 | Greece Asc, LLC | Clinic/Center | 135 Canal Landing Blvd, Rochester, NY 14626-5104 | 2020-05-07 |
| 1679108914 | Precision Sc, LLC | Clinic/Center | 28 Research Way, East Setauket, NY 11733-3453 | 2020-03-06 |
| 1043845340 | Northeast Endoscopy LLC | Clinic/Center | 235 N Belle Mead Ave, East Setauket, NY 11733-3456 | 2020-03-06 |
| 1295365864 | North Fork Surgery Center LLC | Clinic/Center | 700 Boisseau Ave, Southold, NY 11971 | 2020-01-22 |
| 1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
| 1154973071 | Albany Med Niskayuna Ambulatory Endoscopy and Surgery Center | Clinic/Center | 1769 Union Street, 3rd Floor, Niskayana, NY 12309 | 2019-07-11 |
| 1922666940 | Gpddc, LLC | Clinic/Center | 2 Bennett Ave Fl 2, New York, NY 10033-2148 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLETOWN |
| Zip Code | 10941 |
Please comment or provide details below to improve the information on CRYSTAL RUN AMBULATORY SURGERY.
| 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.