CRYSTAL RAY MEDICAL P.C.
NPI 1881819308
Psychiatry & Neurology - Neurology in Rego Park, NY
About Crystal Ray Medical P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRYSTAL RAY MEDICAL P.C. (NPI 1881819308) is a healthcare organization registered as a neurology in Rego Park, New York and active in the NPI registry since April 2007. The organization lists Marina Adelman, Billing Department, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Crystal Ray Medical P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Crystal Ray Medical P.C., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Ray Medical P.C.'s NPI number?
The NPI number for Crystal Ray Medical P.C. is 1881819308. It was assigned to this organization in the NPPES registry on April 17, 2007.
Where is Crystal Ray Medical P.C. located?
Crystal Ray Medical P.C. is located at 9614 63rd Dr Suite 200, Rego Park, NY 11374. The listed phone number is (718) 896-0111.
What is Crystal Ray Medical P.C.'s specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Crystal Ray Medical P.C. enrolled in Medicare?
Yes. Crystal Ray Medical P.C. is registered in the Medicare PECOS enrollment system.
When is Crystal Ray Medical P.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Crystal Ray Medical P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Crystal Ray Medical P.C., in Neurology and Physical Therapist in Private Practice. 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. Of these, 2 practice within 10 miles. 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 Ray Medical P.C. was last updated on April 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Crystal Ray Medical P.c. · NPI 1881819308
Neurology organization in Rego Park, New York. Organization record, active in the CMS NPPES registry since April 17, 2007.
## Identity
- **NPI:** 1881819308 (Entity type: Organization)
- **Enumerated:** April 17, 2007
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **Organization subpart:** No
- **Authorized official:** Marina Adelman, BILLING DEPARTMENT
## Practice location
- **Address:** 9614 63RD DR, SUITE 200, Rego Park, NY 11374-2239
- **Phone:** (718) 896-0111 · **Fax:** (718) 896-2161
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Neurology (1), Physical Therapist in Private Practice (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 24, 2015
- **Other identifiers:** Medicare UPIN H33857 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1881819308) · Data from the CMS NPPES public registry.