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CRYSTAL HEALTH CARE NURSE PRACTITIONER IN FAMILY HEALTH P.C.
NPI 1376333930
Nurse Practitioner - Family in Jamaica, NY

Active since May 07, 2025
11410 MERRICK BLVD, JAMAICA, NY 11434(917) 653-0577(516) 743-0323 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 21, 2025, May 7, 2025 (2 updates tracked since 2025).

About Crystal Health Care Nurse Practitioner In Family Health P.c. NPPES

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

CRYSTAL HEALTH CARE NURSE PRACTITIONER IN FAMILY HEALTH P.C. (NPI 1376333930) is a healthcare organization registered as a family in Jamaica, New York and active in the NPI registry since May 2025. The organization lists Omotunde D Aderin, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376333930
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCRYSTAL HEALTH CARE NURSE PRACTITIONER IN FAMILY HEALTH P.C.
Location Address11410 MERRICK BLVDJamaica, NY 11434-1335
Mailing Address1 Winter LnAmityville, NY 11701-1626 · (917) 653-0577 · Fax (516) 743-0323
Phone(917) 653-0577
Fax(516) 743-0323
Organization SubpartNo
Authorized OfficialOmotunde D AderinCeo · (917) 653-0577
Enumeration DateMay 7, 2025
Last NPPES UpdateNovember 21, 20252 updates tracked since enumeration
NPPES CertifiedNovember 21, 2025
✔ NPI 1376333930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
11410 MERRICK BLVD, Jamaica, NY 11434
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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 4

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

EXEDUS FAMILY HEALTHCARE & WELLNESS CARE SERVICES LLC
Clinic/Center (Primary Care)
11410 MERRICK BLVD
JAMAICA, NY 11434
Queens County (718) 233-2972
DR. ADEDOKUN AKINYOOYE M.D
Pediatrics
11410 MERRICK BLVD
JAMAICA, NY 11434
Queens County (718) 206-2261
NEIGHBORHOOD CARE TEAM, INC.
Case Management
11410 MERRICK BLVD, TOP FLOOR
JAMAICA, NY 11434
Queens County (718) 739-3000
DEN'RAN MEDICAL SERVICES P.C
Clinic/Center (Primary Care)
11410 MERRICK BLVD
JAMAICA, NY 11434
Queens County (718) 206-2261

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Health Care Nurse Practitioner In Family Health P.C.'s NPI number?

The NPI number for Crystal Health Care Nurse Practitioner In Family Health P.C. is 1376333930. It was assigned to this organization in the NPPES registry on May 7, 2025.

Where is Crystal Health Care Nurse Practitioner In Family Health P.C. located?

Crystal Health Care Nurse Practitioner In Family Health P.C. is located at 11410 Merrick Blvd, Jamaica, NY 11434. The listed phone number is (917) 653-0577.

What is Crystal Health Care Nurse Practitioner In Family Health P.C.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Crystal Health Care Nurse Practitioner In Family Health P.C. was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.