Crescent Integrative Medical PLLC
NPI 1881424885 · Family Medicine Physician · Glen Cove, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Crescent Integrative Medical PLLC is a Family Medicine Physician organization in Glen Cove, NY (NPI 1881424885).
Provider details
- NPI number
- 1881424885
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Khawaja Siddique, MD(516) 671-7770
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
- 2024-08-05
- Last updated
- 2024-08-05
- Certified
- 2024-08-05
Frequently asked questions
- What is Crescent Integrative Medical PLLC's NPI number?
- Crescent Integrative Medical PLLC's National Provider Identifier (NPI) is 1881424885, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Crescent Integrative Medical PLLC?
- Crescent Integrative Medical PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Crescent Integrative Medical PLLC located?
- Crescent Integrative Medical PLLC's practice location on file with NPPES is 235 Forest Ave, Glen Cove, NY 11542-2034.
- What is Crescent Integrative Medical PLLC's phone number?
- The practice phone number listed in the NPPES registry for Crescent Integrative Medical PLLC is (516) 671-7770.
- Does Crescent Integrative Medical PLLC accept Medicare?
- Crescent Integrative Medical PLLC 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 Crescent Integrative Medical PLLC?
- The authorized official listed on Crescent Integrative Medical PLLC's NPPES record is Khawaja Siddique, MD. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Crescent Integrative Medical PLLC's NPI active?
- Yes — Crescent Integrative Medical PLLC's NPI (1881424885) is active in the NPPES registry as of the last update on 2024-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.