MEDICARE: JOSEPH A CRAPOTTA MD

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	166756	NY
2	207WX0107X	Retina Specialist (Ophthalmology) Physician	166756	NY
3	207WX0107X	Retina Specialist (Ophthalmology) Physician	4301510750	MI

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1326070020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH A CRAPOTTA MD

Provider Business Mailing Address
First Line	:	8212 151ST AVE
Second Line	:
City	:	HOWARD BEACH
State	:	NY
Zip	:	11414-1793
Country	:	US
Telephone Number	:	718-845-4400
Fax Number	:	718-738-8198

Provider Business Practice Location Address
First Line	:	8212 151ST AVE
Second Line	:
City	:	HOWARD BEACH
State	:	NY
Zip	:	11414-1793
Country	:	US
Telephone Number	:	718-845-4400
Fax Number	:	718-738-8198

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	04/19/2025

82-12 151ST AVENUE , HEARTSHARE KIWANIS
HOWARD BEACH, NY
11414-1793

Practice Phone: 718-848-0300
Practice Fax: 718-835-2862