NPIMap

Organization Active NPI

Cruz Bay Family Practice

Doing business as Red Hook Family Practice

  • Family Medicine Physician
  • St John, VI
National Provider Identifier
1013121896
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1377 Issued in VI
Legal business name
CRUZ BAY FAMILY PRACTICE
Doing business as
Red Hook Family Practice
Practice address
Boulon Center Cruz Bay
St John, VI 00831-0037
Phone
(340) 776-6789
NPI assigned
May 10, 2007
Last updated
Jun 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Siri Akal, M.D.NPI 1972568723
Title
President/Owner
Phone
(340) 775-2303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1377 VI Primary

Addresses

Primary practice location

Boulon Center Cruz Bay
St John, VI 00831-0037

Mailing address

6500 Red Hook PLZ
Sutie 205
St Thomas, VI 00802-1306
Phone (340) 775-2303

Other names 1

  • Red Hook Family Practice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cruz Bay Family Practice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1013121896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 RED HOOK PLZ",
            "address_2": "SUTIE 205",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008021306",
            "telephone_number": "340-775-2303",
            "fax_number": "340-779-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BOULON CENTER CRUZ BAY",
            "city": "ST JOHN",
            "state": "VI",
            "postal_code": "008310037",
            "telephone_number": "340-776-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRUZ BAY FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "AKAL",
        "authorized_official_first_name": "SIRI",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "340-775-2303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VI",
            "license": "1377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Hook Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St John, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.