Active NPI
Juan Dela Cruz, DC
- Chiropractor
- New York, NY
National Provider Identifier
1013932227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X010935-1
- Practice address
- 109 East 36TH Street
First Floor
New York, NY 10016-3447 - Phone
- (212) 510-7020
- Fax
- (212) 510-7021
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X010935-1 | NY | Primary |
Addresses
Primary practice location
109 East 36TH Street
First Floor
New York, NY 10016-3447
Mailing address
109 East 36TH Street
First Floor
New York, NY 10016-3447
Phone (212) 510-7020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X010935-1 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Wellness Medical PC | Chiropractor | Past | Accepting new patients |
| G. F.G Medical, P.C | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Medicine & Rehabilitation Physician
- Bronx, NY
- NPI 1053325894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538524800000",
"number": "1013932227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 EAST 36TH STREET",
"address_2": "FIRST FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100163447",
"telephone_number": "212-510-7020",
"fax_number": "212-510-7021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 EAST 36TH STREET",
"address_2": "FIRST FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100163447",
"telephone_number": "212-510-7020",
"fax_number": "212-510-7021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELA CRUZ",
"first_name": "JUAN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2018-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X010935-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.