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CRESCENT INTEGRATIVE MEDICAL PLLC
NPI 1881424885
Family Medicine in Glen Cove, NY

Active since August 05, 2024
235 FOREST AVE, GLEN COVE, NY 11542(516) 671-7770 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Crescent Integrative Medical Pllc NPPES

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

CRESCENT INTEGRATIVE MEDICAL PLLC (NPI 1881424885) is a healthcare organization registered as a family medicine in Glen Cove, New York and active in the NPI registry since August 2024. The organization lists Khawaja Siddique, Md, as its authorized official.

NPPES Registry Identity

NPI1881424885
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCRESCENT INTEGRATIVE MEDICAL PLLC
Location Address235 FOREST AVEGlen Cove, NY 11542-2034
Mailing Address235 Forest AveGlen Cove, NY 11542-2034 · (516) 671-7770
Phone(516) 671-7770
Organization SubpartNo
Authorized OfficialKhawaja SiddiqueMd · (516) 671-7770
Enumeration DateAugust 5, 2024
NPPES CertifiedAugust 5, 2024
✔ NPI 1881424885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
235 FOREST AVE, Glen Cove, NY 11542
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

787 MEDICAL PC
Integrative Medicine
235 FOREST AVE
GLEN COVE, NY 11542
Nassau County (718) 285-7023
PETER J. KURZWEIL, M.D., P.C.
Internal Medicine
235 FOREST AVE
GLEN COVE, NY 11542
Nassau County (516) 671-7770
DR. PETER J KURZWEIL MD
Internal Medicine
235 FOREST AVE
GLEN COVE, NY 11542
Nassau County (516) 671-7770
NORTH NASSAU MEDICAL ASSOCIATES
Clinic/Center (Primary Care)
235 FOREST AVE
GLEN COVE, NY 11542
Nassau County (516) 671-7770
DR. KHAWAJA ASIM SIDDIQUE MD
Family Medicine
235 FOREST AVE
GLEN COVE, NY 11542
Nassau County (516) 671-7770
MRS. JENNIFER DIAZ PA-C
Physician Assistant
235 FOREST AVE
GLEN COVE, NY 11542
Nassau County (516) 463-6600

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 Integrative Medical PLLC's NPI number?

The NPI number for Crescent Integrative Medical PLLC is 1881424885. It was assigned to this organization in the NPPES registry on August 5, 2024.

Where is Crescent Integrative Medical PLLC located?

Crescent Integrative Medical PLLC is located at 235 Forest Ave, Glen Cove, NY 11542. The listed phone number is (516) 671-7770.

What is Crescent Integrative Medical PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Crescent Integrative Medical PLLC was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.