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CRYSTAL RUN HEALTHCARE PHYSICIANS LLP
NPI 1558857425
Durable Medical Equipment & Medical Supplies in Monroe, NY

Active since July 03, 2018CLIA 33D1084353 · Waiver
745 STATE ROUTE 17M, MONROE, NY 10950(845) 703-6999(845) 703-6297 Get Directions Write a Review

NPPES record last updated: July 3, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Crystal Run Healthcare Physicians Llp NPPES

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

CRYSTAL RUN HEALTHCARE PHYSICIANS LLP (NPI 1558857425) is a healthcare organization registered as a durable medical equipment & medical supplies in Monroe, New York and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through May 8, 2028 and lists Jennine Sweeney, Asst. Director, Provider Resources, as its authorized official.

NPPES Registry Identity

NPI1558857425
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameCRYSTAL RUN HEALTHCARE PHYSICIANS LLP
Location Address745 STATE ROUTE 17MMonroe, NY 10950-2660
Mailing Address155 Crystal Run RdMiddletown, NY 10941-4057 · (845) 703-6999 · Fax (845) 703-6297
Phone(845) 703-6999
Fax(845) 703-6297
Organization SubpartNo
Authorized OfficialJennine SweeneyAsst. Director, Provider Resources · (845) 796-5507
Enumeration DateJuly 3, 2018
✔ NPI 1558857425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
745 STATE ROUTE 17M, Monroe, NY 10950
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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 33D1084353

Crystal Run Healthcare Physicians LLP · Monroe, NY
Active · expires May 8, 2028
CLIA Number33D1084353
Laboratory TypePhysician Office
Certificate Effective DateMay 9, 2026
Certificate Expiration DateMay 8, 2028
Laboratory DirectorDr. Laura Nicoll
Laboratory Phone(845) 703-6194
Laboratory LocationCrystal Run Healthcare Physicians LLP855 Route 17M, Monroe, NY 10950
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

GITTY BLACHMAN
Dietitian, Registered
745 STATE ROUTE 17M
MONROE, NY 10950
Orange County (845) 782-0000
NEW ENGLAND ORTHOTIC & PROSTHETIC SYSTEMS, LLC
Prosthetic/Orthotic Supplier
745 STATE ROUTE 17M, SUITE 107
MONROE, NY 10950
Orange County (845) 783-6321
RAQUEL AIRES GOMES ROSENFELD PA
Physician Assistant
745 STATE ROUTE 17M
MONROE, NY 10950
Orange County (845) 703-6999
GMZY HEALTH MANAGEMENT LLC
Clinic/Center
745 STATE ROUTE 17M
MONROE, NY 10950
Orange County (845) 782-4000
NEW ENGLAND O & P NEW YORK, INC
Prosthetic/Orthotic Supplier
745 STATE ROUTE 17M, SUITE 107
MONROE, NY 10950
Orange County (845) 783-6321
LEONID IZIKSON M.D.
Dermatology
745 STATE ROUTE 17M
MONROE, NY 10950
Orange County (845) 703-6999

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 Run Healthcare Physicians LLP's NPI number?

The NPI number for Crystal Run Healthcare Physicians LLP is 1558857425. It was assigned to this organization in the NPPES registry on July 3, 2018.

Where is Crystal Run Healthcare Physicians LLP located?

Crystal Run Healthcare Physicians LLP is located at 745 State Route 17M, Monroe, NY 10950. The listed phone number is (845) 703-6999.

What is Crystal Run Healthcare Physicians LLP's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Crystal Run Healthcare Physicians LLP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1084353) is associated with this NPI, valid through May 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Crystal Run Healthcare Physicians LLP was last updated on July 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.