OrganizationActive
Crescent Medical PC
NPI 1063866838 · Family Medicine Physician · Jamaica, NY
Crescent Medical PC is a Family Medicine Physician organization in Jamaica, NY (NPI 1063866838).
Provider details
- NPI number
- 1063866838
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Samuel Walters, Owner(718) 658-9700
- License
- 115662 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10825 Merrick Blvd
Jamaica, NY 11433-2906
Phone: (718) 658-9700
Fax: (718) 658-9703
Street-level locationGet directions
Mailing address
10825 Merrick Blvd
Jamaica, NY 11433-2906
Registry dates
- Enumerated
- 2016-04-19
- Last updated
- 2016-04-19
Frequently asked questions
- What is Crescent Medical PC's NPI number?
- Crescent Medical PC's National Provider Identifier (NPI) is 1063866838, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Crescent Medical PC?
- Crescent Medical PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Crescent Medical PC located?
- Crescent Medical PC's practice location on file with NPPES is 10825 Merrick Blvd, Jamaica, NY 11433-2906.
- What is Crescent Medical PC's phone number?
- The practice phone number listed in the NPPES registry for Crescent Medical PC is (718) 658-9700.
- Who is the authorized official for Crescent Medical PC?
- The authorized official listed on Crescent Medical PC's NPPES record is Samuel Walters, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Crescent Medical PC's NPI active?
- Yes — Crescent Medical PC's NPI (1063866838) is active in the NPPES registry as of the last update on 2016-04-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.