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CRESCENT MEDICAL GROUP PC
NPI 1487348306
Clinic/Center - Primary Care in Roselle Park, NJ

Active since June 05, 2023CLIA 31D2270261 · Waiver
141 CHESTNUT ST STE 202, ROSELLE PARK, NJ 07204(908) 280-9600(908) 248-9390 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 3, 2023, Oct 26, 2023, Jun 5, 2023 (3 updates tracked since 2023).

About Crescent Medical Group Pc NPPES

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

CRESCENT MEDICAL GROUP PC (NPI 1487348306) is a healthcare organization registered as a primary care in Roselle Park, New Jersey and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through October 11, 2026 and lists Hr Manager, Manager, as its authorized official.

NPPES Registry Identity

NPI1487348306
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCRESCENT MEDICAL GROUP PC
Location Address141 CHESTNUT ST STE 202Roselle Park, NJ 07204-2282
Mailing Address141 Chestnut St Ste 202Roselle Park, NJ 07204-2282 · (908) 280-9600 · Fax (908) 248-9390
Phone(908) 280-9600
Fax(908) 248-9390
Organization SubpartNo
Authorized OfficialHr ManagerManager · (973) 777-0000
Enumeration DateJune 5, 2023
Last NPPES UpdateJuly 29, 20253 updates tracked since enumeration
NPPES CertifiedJuly 29, 2025
✔ NPI 1487348306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/CenterTaxonomy 261Q00000X
141 CHESTNUT ST STE 202, Roselle Park, NJ 07204
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2270261

Crescent Medical Group PC · Roselle Park, NJ
Active · expires Oct 11, 2026
CLIA Number31D2270261
Laboratory TypeUrgent Care
Certificate Effective DateOctober 12, 2024
Certificate Expiration DateOctober 11, 2026
Laboratory DirectorSekuleo Gathers
Laboratory Phone(908) 280-9600
Laboratory LocationCrescent Medical Group PC141 Chestnut St Ste 202, Roselle Park, NJ 07204
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

CRESCENT MEDICAL GROUP PC
Clinic/Center (Urgent Care)
141 CHESTNUT ST STE 202
ROSELLE PARK, NJ 07204
Union County (908) 280-9600

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 Crescent Medical Group PC's NPI number?

The NPI number for Crescent Medical Group PC is 1487348306. It was assigned to this organization in the NPPES registry on June 5, 2023.

Where is Crescent Medical Group PC located?

Crescent Medical Group PC is located at 141 Chestnut St Ste 202, Roselle Park, NJ 07204. The listed phone number is (908) 280-9600.

What is Crescent Medical Group PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Crescent Medical Group PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2270261) is associated with this NPI, valid through October 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Crescent Medical Group PC was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.