CRYSTAL HEALTH CARE NURSE PRACTITIONER IN FAMILY HEALTH P.C.
NPI 1376333930
Nurse Practitioner - Family in Jamaica, NY
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
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Crystal Health Care Nurse Practitioner In Family Health P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Crystal Health Care Nurse Practitioner In Family Health P.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Crystal Health Care Nurse Practitioner In Family Health P.C. enrolled in Medicare?
Yes. Crystal Health Care Nurse Practitioner In Family Health P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Crystal Health Care Nurse Practitioner In Family Health P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Crystal Health Care Nurse Practitioner In Family Health P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 11 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.
# Crystal Health Care Nurse Practitioner In Family Health P.c. · NPI 1376333930
Family organization in Jamaica, New York. Organization record, active in the CMS NPPES registry since May 7, 2025.
## Identity
- **NPI:** 1376333930 (Entity type: Organization)
- **Enumerated:** May 7, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Omotunde Aderin, CEO
## Practice location
- **Address:** 11410 MERRICK BLVD, Jamaica, NY 11434-1335
- **Phone:** (917) 653-0577 · **Fax:** (516) 743-0323
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1376333930) · Data from the CMS NPPES public registry.