Physician Compare National (NPI:1538142740)

HEALTHCARE PROVIDER: JOSEPH A CRISAFULLI D.P.M.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1538142740
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5395845994
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080709000600
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CRISAFULLI
	Individual professional last name
Provider First Name	JOSEPH
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	120 RUSSELL RD LOUDONVILLE PODIATRY
	Group Practice or individual's line 1 address
City	ALBANY
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	122051950
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5184893668
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330057
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST PETER'S HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330180
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SAMARITAN HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y