Healthcare Provider Details

I. General information

NPI: 1326070020
Provider Name (Legal Business Name): JOSEPH A CRAPOTTA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 04/19/2025
Certification Date: 04/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8212 151ST AVE
HOWARD BEACH NY
11414-1793
US

IV. Provider business mailing address

8212 151ST AVE
HOWARD BEACH NY
11414-1793
US

V. Phone/Fax

Practice location:
  • Phone: 718-845-4400
  • Fax: 718-738-8198
Mailing address:
  • Phone: 718-845-4400
  • Fax: 718-738-8198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number166756
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number166756
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number4301510750
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: