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

Crystal L Islam, PA-C

Individual provider Physician Assistant · NPI 1710453816

Crystal L Islam, PA-C is a Physician Assistant in Columbus, Ohio. Qualified in 2018, 8 years ago. Practices with St Josephs Medical PC, a 385-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York and Ohio.

Years since qualifying
8
Licensed in
NY, OH
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

452 W 10th Ave
Columbus, OH 43210-1240
Phone: (614) 293-8536
Fax: (614) 293-8902
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 750 E Adams St, Syracuse, NY 13210-2306 — (315) 464-3494

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.009630RX (OH)
Physician Assistant Taxonomy 363A00000X · Licence 022847 (NY)

Record details

NPI number1710453816
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 17, 2018
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice St Josephs Medical Pc — 385 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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