CRESCENT MEDICAL PC
NPI 1063866838
Family Medicine in Jamaica, NY

Q: What is Crescent Medical PC's NPI number?

The NPI number for Crescent Medical PC is 1063866838. It was assigned to this organization in the NPPES registry on April 19, 2016.

Q: What is Crescent Medical PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 19, 2016

10825 MERRICK BLVD, JAMAICA, NY 11433(718) 658-9700(718) 658-9703 Get Directions Write a Review

NPPES record last updated: April 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Crescent Medical Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRESCENT MEDICAL PC (NPI 1063866838) is a healthcare organization registered as a family medicine in Jamaica, New York and active in the NPI registry since April 2016. The organization lists Samuel Roy Walters, Owner, as its authorized official.

NPPES Registry Identity

NPI1063866838

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCRESCENT MEDICAL PC

Location Address10825 MERRICK BLVDJamaica, NY 11433-2906

Mailing Address10825 Merrick BlvdJamaica, NY 11433-2906 · (718) 658-9700 · Fax (718) 658-9703

Phone(718) 658-9700

Fax(718) 658-9703

Organization SubpartNo

Authorized OfficialSamuel Roy WaltersOwner · (718) 658-9700

Enumeration DateApril 19, 2016

✔ NPI 1063866838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 115662

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

10825 MERRICK BLVD, Jamaica, NY 11433

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTH MERRICK NP IN ADULT HEALTH P.C.

Internal Medicine