CRYSTAL RUN HEALTHCARE PHYSICIANS LLP
NPI 1801248174
Durable Medical Equipment & Medical Supplies in West Nyack, NY

Q: What is the provider's specialty?

The provider's specialty is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since July 11, 2016CLIA 33D0939484 · Certificate of Compliance

2 CENTEROCK RD, WEST NYACK, NY 10994(845) 703-6999(845) 703-6297 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 5, 2023, Jul 11, 2016 (2 updates tracked since 2016).

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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 1801248174) is a healthcare organization registered as a durable medical equipment & medical supplies in West Nyack, New York and active in the NPI registry since July 2016. The organization holds a CLIA Certificate of Compliance certificate valid through July 31, 2026 and lists Gregory A Spencer, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1801248174

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameCRYSTAL RUN HEALTHCARE PHYSICIANS LLP

Location Address2 CENTEROCK RDWest Nyack, NY 10994-2215

Mailing Address155 Crystal Run RdMiddletown, NY 10941-4028 · (845) 703-6999 · Fax (845) 703-6297

Phone(845) 703-6999

Fax(845) 703-6297

Organization SubpartNo

Authorized OfficialGregory A SpencerChief Medical Officer · (845) 703-6999

Enumeration DateJuly 11, 2016

Last NPPES UpdateOctober 5, 20232 updates tracked since enumeration

NPPES CertifiedOctober 5, 2023

✔ NPI 1801248174 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.

2 CENTEROCK RD, West Nyack, NY 10994

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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 Compliance 33D0939484

Crystal Run Healthcare Physicians LLP West Nyack · West Nyack, NY

Active · expires Jul 31, 2026

CLIA Number33D0939484

Laboratory TypePhysician Office

Certificate Effective DateJune 8, 2023

Certificate Expiration DateJuly 31, 2026

Laboratory DirectorDr. Min Guo

Laboratory Phone(845) 703-6194

Laboratory LocationCrystal Run Healthcare Physicians LLP West Nyack2 Centerock Road, West Nyack, NY 10994

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

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

DR. GREGORY POLAR D.O.

Dermatology