Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Crescent Medical PC

Organization Family Medicine Physician · NPI 1063866838

Crescent Medical PC is a Family Medicine Physician in Jamaica, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10825 Merrick Blvd
Jamaica, NY 11433-2906
Phone: (718) 658-9700
Fax: (718) 658-9703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 115662 (NY)

Record details

NPI number1063866838
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Walters — Owner · (718) 658-9700
NPI enumeratedApril 19, 2016
Last updated in NPPESApril 19, 2016
Mailing address10825 Merrick Blvd, Jamaica, NY 11433-2906

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