Five Crest Medical Diagnostic P.C.
NPI 1104378058 · Specialist · Brooklyn, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Five Crest Medical Diagnostic P.C. is a Specialist organization in Brooklyn, NY (NPI 1104378058).
Provider details
- NPI number
- 1104378058
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Sonia Walker, Medical Director(718) 599-1007
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
Mailing address
Registry dates
- Enumerated
- 2016-10-26
- Last updated
- 2017-07-06
Frequently asked questions
- What is Five Crest Medical Diagnostic P.C.'s NPI number?
- Five Crest Medical Diagnostic P.C.'s National Provider Identifier (NPI) is 1104378058, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Five Crest Medical Diagnostic P.C.?
- Five Crest Medical Diagnostic P.C. is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Five Crest Medical Diagnostic P.C. located?
- Five Crest Medical Diagnostic P.C.'s practice location on file with NPPES is 124 Bay Ridge Ave, Brooklyn, NY 11220-5109.
- What is Five Crest Medical Diagnostic P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Five Crest Medical Diagnostic P.C. is (718) 836-2199.
- Does Five Crest Medical Diagnostic P.C. accept Medicare?
- Five Crest Medical Diagnostic P.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Five Crest Medical Diagnostic P.C.?
- The authorized official listed on Five Crest Medical Diagnostic P.C.'s NPPES record is Sonia Walker, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Five Crest Medical Diagnostic P.C.'s NPI active?
- Yes — Five Crest Medical Diagnostic P.C.'s NPI (1104378058) is active in the NPPES registry as of the last update on 2017-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.