CROWN ACO LLC – NPI #1912882325
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CROWN ACO LLC is a specialist located in BROOKLYN, NY. NPPES has assigned the NPI number 1912882325 to CROWN ACO LLC on August 06, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 174400000X from the Health Care Provider Taxonomy code set, which is classified as Specialist.

See the complete NPI profile for CROWN ACO LLC below.

NPI Profile for
CROWN ACO LLC

NPI Number
1912882325
Enumeration Date

(about 10 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CROWN ACO LLC
Primary location
1545 ATLANTIC AVE STE 108
BROOKLYN, NY 11213-1122
Phone: (718) 552-2070 Fax:
Mailing address
15 WOODCREST DR
SYOSSET, NY 11791-3036
Phone: (718) 552-2070 Fax:
Organization Subpart
No
Authorized Official
DEVENDRA SHRIVASTAVA
AUTHORIZED OFFICIAL
Phone: (718) 552-2070
Updated
Certification Date
Aug 06, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
174400000X
- Specialist (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.