Individual provider Active NPI

Taisha Cruz, FNP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1013539733
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F3442561 Issued in NY
Practice address
521 W 181St St
New York, NY 10033-5102
Phone
(347) 756-6000
NPI assigned
May 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F3442561 NY Primary

Addresses

Primary practice location

521 W 181St St
New York, NY 10033-5102

Mailing address

411 Revere Ave
Bronx, NY 10465-2923
Phone (917) 864-1114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210222001702 NY Practitioner - Nurse Practitioner 7517372717 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Mercy College, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CCN General Medicine PLLCGroup PAC ID 3577699339, 3 clinicians

Practice addresses (Care Compare)

1262 Boston Rd
Suite 2
Bronx, NY 10456-3541
Phone (718) 569-7929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F3442561NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
181St Street Medical P.C. CurrentSince Nov 1, 2020 Accepting new patients
Audubon Primary Care Medicine PLLC CurrentSince Nov 1, 2020 Accepting new patients
CCN General Medicine PLLC CurrentSince Apr 1, 2021 Accepting new patients

Locations

1148 E Tremont Ave
Bronx, NY 10460
Phone 7183783438 ext. 7718

1262 Boston Rd
#2
Bronx, NY 10456
Phone (718) 569-7929

521 W 181st St
New York, NY 10033
Phone (347) 756-6000

325 Audubon Ave
New York, NY 10033
Phone (718) 664-7679

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEJIAA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1013539733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 REVERE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652923",
            "telephone_number": "917-864-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W 181ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100335102",
            "telephone_number": "347-756-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "TAISHA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F3442561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.